Vishal Verma, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

57568 Issued in CA

Practice address

19341 Bear Valley Rd Ste 101
Apple Valley, CA 92308-5152

Phone

(760) 810-7778

NPI assigned

Dec 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Apple Valley, CA
  • NPI 1104871623
  NPD
• Dr, Mikel Walk in Clinic

  • General Practice Physician
  • Victorville, CA
  • NPI 1942428263
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1801433305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085152",
            "telephone_number": "760-810-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "VISHAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Velez Murillo
• Monica Velez, DMD
• Venkat Reddy Vangala M.D. Inc
• Venkat Reddy-Vangala M D Inc
• Ashley Vennes, RN
• Eduardita Eolani Vicencio, M.D.
• Victor C Moneke MD Inc
• Victor Valley Neurology, Inc
• Victor Valley Primary Care, Inc.
• Victory Med-Trans

• Medical Physician Assistant in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.