Active NPI
Ann Marie Pierce, PA-C, MPAS
- Physician Assistant
- Victorville, CA
National Provider Identifier
1760534754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 18274
- Practice address
- 15532 Bear Valley Rd
Victorville, CA 92395-9260 - Phone
- (760) 245-5959
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 18274 | CA | Primary |
Addresses
Primary practice location
15532 Bear Valley Rd
Victorville, CA 92395-9260
Mailing address
PO Box 823
Bonsall, CA 92003-0823
Phone (760) 447-6085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18274 | CA | MD | Acupuncturist |
| PA 18274 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Valley Clinica Medica Familiar a Medical Corporation | Past | Accepting new patients | |
| Bear Valley Clinica Familiar, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Victorville, CA
- NPI 1710135900
-
- General Practice Physician
- Victorville, CA
- NPI 1093355109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318118400000",
"number": "1760534754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 823",
"city": "BONSALL",
"state": "CA",
"postal_code": "920030823",
"telephone_number": "760-447-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15532 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923959260",
"telephone_number": "760-245-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C, MPAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2011-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 18274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.