Individual provider Active NPI

Maya M Vazirani, M.D.

  • Pediatrics Physician
  • Lancaster, CA
National Provider Identifier
1932178456
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A33369 Issued in CA
Practice address
1717 W Avenue J
Lancaster, CA 93534-2703
Phone
(661) 945-6717
Fax
(661) 945-6718
NPI assigned
Mar 16, 2006
Last updated
Feb 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A33369 CA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X A33369 CA

Addresses

Primary practice location

1717 W Avenue J
Lancaster, CA 93534-2703

Mailing address

1717 W Avenue J
Lancaster, CA 93534-2703
Phone (661) 945-6717

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000128 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0244403749

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1932178456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-945-6717",
            "fax_number": "661-945-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-945-6717",
            "fax_number": "661-945-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRANI",
        "first_name": "MAYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A33369",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A33369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.