Individual provider Active NPI

Alyssa Marie Maximo Ayudante, PA-C

  • Physician Assistant
  • Oxnard, CA
National Provider Identifier
1922849116
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65301 Issued in CA
Practice address
801 Cooper Rd
Oxnard, CA 93030-5445
Phone
(805) 330-8100
Fax
(805) 240-7383
NPI assigned
Jun 3, 2024
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65301 CA Primary

Addresses

Primary practice location

801 Cooper Rd
Oxnard, CA 93030-5445

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 330-8100

Other names 1

  • Alyssa Ayudante Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130001220 CA Practitioner - Physician Assistant 3072042464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians

Practice addresses (Care Compare)

1424 Madera Rd
Simi Valley, CA 93065-3053
Phone (805) 522-5722

500 E Main St
Santa Paula, CA 93060-2607
Phone (805) 933-0895

801 Cooper Rd
Oxnard, CA 93030-5445
Phone (805) 330-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65301CAMDDental Assistant
PA65301CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Feb 1, 2025 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Feb 1, 2025 Accepting new patients
Clinicas del Camino Real Inc PastSince Jan 26, 2025 Accepting new patients
Clinicas del Camino Real Inc PastSince Jan 26, 2025 Accepting new patients

Locations

801 Cooper Rd
Oxnard, CA 93030
Phone (805) 330-8100

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: aayudante802576@direct.ochin.org
  • Direct secure messaging: alyssa.ayudante.p1@direct.clinicas.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1922849116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-330-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COOPER RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305445",
            "telephone_number": "805-330-8100",
            "fax_number": "805-240-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUDANTE",
        "first_name": "ALYSSA MARIE",
        "middle_name": "MAXIMO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "AYUDANTE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.