Individual provider Active NPI

Virginia Muro

  • Physician Assistant
  • Victorville, CA
National Provider Identifier
1740671379
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52311 Issued in CA
Practice address
13010 Hesperia Rd Ste 200
Victorville, CA 92395-8315
Phone
(760) 243-4009
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52311 CA Primary

Addresses

Primary practice location

13010 Hesperia Rd Ste 200
Victorville, CA 92395-8315

Mailing address

12595 Hesperia Rd
Ste 101
Victorville, CA 92395-5882
Phone (760) 881-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005001175 CA Practitioner - Physician Assistant 7416251517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.83
Promoting interoperability
100
Improvement activities
40
Cost
78.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Pathology LLC Current Accepting new patients
Victor Valley Community Hospital Past Accepting new patients

Locations

17203 Jasmine St
Victorville, CA 92395
Phone (760) 881-3377

12595 Hesperia Rd
Ste 101
Victorville, CA 92395
Phone (760) 881-3377

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1740671379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12595 HESPERIA RD",
            "address_2": "STE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955882",
            "telephone_number": "760-881-3377",
            "fax_number": "760-881-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 HESPERIA RD STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958315",
            "telephone_number": "760-243-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURO",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.