Active NPI
Ana Maldonado, PA-C/MPH
- Physician Assistant
- Boston, MA
National Provider Identifier
1881676849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1406
- Practice address
- 7 Haviland St
Boston, MA 02115-2683 - Phone
- (617) 927-6117
- Fax
- (617) 536-8602
- NPI assigned
- Nov 16, 2005
- 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 | 1406 | MA | Primary |
Addresses
Primary practice location
7 Haviland St
Boston, MA 02115-2683
Mailing address
PO Box 1870
Watsonville, CA 95077-1870
Phone (831) 728-0222
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21550 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Para la Gente | Current | Accepting new patients | |
| Salud Para la Gente | Current | Accepting new patients |
Locations
45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588
195 Aviation Way
Ste 200
Watsonville, CA 95076
204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413
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.
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1730169756
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1629269618
-
- Federally Qualified Health Center (FQHC)
- Seaside, CA
- NPI 1700142544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1881676849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1870",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950771870",
"telephone_number": "831-728-0222",
"fax_number": "831-707-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HAVILAND ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152683",
"telephone_number": "617-927-6117",
"fax_number": "617-536-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "ANA",
"name_prefix": "Ms.",
"credential": "PA-C/MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.