Elder Orlando Ayala, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA13018 Issued in CA

Practice address

15243 Vanowen St Ste 107
Van Nuys, CA 91405-3633

Phone

(818) 787-8473

Fax

(818) 787-8671

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Familia Medical Clinic IncGroup PAC ID 5597080440, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• La Familia Medical Clinic Inc.

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1912310566
  Medicare reassignment Care Compare group
• Family Care Clinic Inc

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1780378539
  Medicare reassignment
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1093934986
  NPD (past)
• Salud Digna, Inc.

  • Primary Care Clinic/Center
  • Huntington Park, CA
  • NPI 1861758492
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1801949698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 HARTWICK ST",
            "city": "EAGLE ROCK",
            "state": "CA",
            "postal_code": "900412247",
            "telephone_number": "323-989-0180",
            "fax_number": "323-989-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053633",
            "telephone_number": "818-787-8473",
            "fax_number": "818-787-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "ELDER",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avve Home Health
• Awesome Senior Living Inc
• Evelyn Jazmin Ayala Gaxiola
• Fernando Salvador Ayala Negrete
• April Abigail Ayala
• Elvia Ayala
• Ivanna V Ayala, BCBA
• Sandy G Ayala
• Jennifer Monica Ayers
• Elizabeth Ashley Ayres, MFTI 68599

• Medical Physician Assistant in Van Nuys, CA
• Providers in Van Nuys, 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 Apr 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.