Fabio Alejandro Mazzarelli II, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55204 Issued in CA

Practice address

400 W Mineral King Ave
Visalia, CA 93291-6237

Phone

(559) 624-2000

NPI assigned

Jul 14, 2017

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

Merit-based Incentive Payment System (MIPS)

Final score

84.94 of 100Reported as group

Quality

73.38

Improvement activities

40

Cost

72.82

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Nes Western Group, a Professional Corporation

  • Emergency Medicine Physician
  • Porterville, CA
  • NPI 1487125019
  Medicare reassignment NPD
• Allied Emergency Physicians, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Simi Valley, CA
  • NPI 1043531346
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Seaside Emergency Associates

  • Emergency Medicine Physician
  • Ventura, CA
  • NPI 1639577802
  Medicare reassignment
• Cep America-California

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1598534216
  NPD

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821510488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5428 E Snow Wood Cir, APT B",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92807",
            "country_code": "US",
            "telephone_number": "760-861-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5428 E Snow Wood Cir, APT B",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92807",
            "country_code": "US",
            "telephone_number": "760-861-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZARELLI",
        "first_name": "FABIO",
        "middle_name": "ALEJANDRO",
        "name_suffix": "II",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R. Mayo, D.P.M.
• Kimberly Mayse, RADT
• Jill Elizabeth Maze, LCSW
• Efrat M Mazin, PSY.D.
• Ramon Armando Mazon Jr.
• Mary Katherine MC Donald, PH.D.
• Emily Ann MC Nabb
• Lisa McAlister, MSW TRAINEE
• McAuliff & Wood Orthodontic Specialists
• Stephen James McAuliff, D.D.S.

• Physician Assistant in Visalia, CA
• Providers in Visalia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.