Active NPI
Maya M Vazirani, M.D.
- Pediatrics Physician
- Lancaster, CA
National Provider Identifier
1932178456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A33369
- Practice address
- 1717 W Avenue J
Lancaster, CA 93534-2703 - Phone
- (661) 945-6717
- Fax
- (661) 945-6718
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N96036 | Other | CA | BLUE CROSS OF CA MEDI-CAL |
| 953804947 | Other | TAX ID | |
| 00A333690 | Medicaid | CA | |
| 0101029195 | Other | VA | PHYSICIAN &SURGEON |
| A33369 | Other | CA | PHYSICIAN & SURGEON LICEN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111028000128 | CA | Order and Referring Only - Pediatric Medicine | 0244403749 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33369 | CA | MD | Neonatal-Perinatal Medicine Physician |
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CA MEDI-CAL",
"identifier": "N96036",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "953804947",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A333690",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN &SURGEON",
"identifier": "0101029195",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN & SURGEON LICEN",
"identifier": "A33369",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.