NPIMap

Individual provider Active NPI

Maya Vaysbrot, DO

  • Neurology Physician
  • Glendale, AZ
National Provider Identifier
1902063837
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
240111 Issued in MA
Practice address
20325 N. 51St. Ave.
Suite 160
Glendale, AZ 85308-4622
Phone
(623) 466-6350
Fax
(602) 358-8698
NPI assigned
May 19, 2008
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 240111 MA Primary

Addresses

Primary practice location

20325 N. 51St. Ave.
Suite 160
Glendale, AZ 85308-4622

Mailing address

20325 N. 51St. Ave.
Suite 160
Glendale, AZ 85308-4622
Phone (623) 466-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112001070 CA Practitioner - Neurology 4789726217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

2205 Vista Way
Oceanside, CA 92054-5661
Phone (858) 554-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Family Medicine Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Dec 14, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Family Medicine CurrentSince Dec 14, 2020 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients
Sun Health Corporation Past Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Baystate Medical Center Inc Past Accepting new patients
Restassured RX PastSince Jul 1, 2022 Accepting new patients
Banner Desert Medical Center Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

Interoperability endpoints

  • Direct secure messaging: mvaysbrot391620@scrippshlth.medalliesdirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1902063837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N. 51ST. AVE.",
            "address_2": "SUITE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084622",
            "telephone_number": "623-466-6350",
            "fax_number": "602-358-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N. 51ST. AVE.",
            "address_2": "SUITE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084622",
            "telephone_number": "623-466-6350",
            "fax_number": "602-358-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYSBROT",
        "first_name": "MAYA",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "240111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.