Active NPI
Abigail Maria Vera, FNP
- Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPF23547
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (619) 543-6303
- NPI assigned
- Jun 18, 2012
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPF23547 | CA | Primary |
| Registered Nurse | 163W00000X | 807703 | CA |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Phone (858) 249-6748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-0150193 | Other | CA | MEDI-CAL |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 807703 | CA | MD | Registered Nurse |
| 23547 | CA | MD | Speech-Language Pathologist |
| NPF23547 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 10
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.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1386762300
-
dba Beach Area Family Health Center Annex
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1184982159
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Neurology Physician
- San Diego, CA
- NPI 1649372673
-
- Neurological Surgery Physician
- San Diego, CA
- NPI 1760594998
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1831208826
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1932462785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410",
"telephone_number": "858-249-6748",
"fax_number": "619-543-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "619-543-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "ABIGAIL",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NPF23547",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "807703",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "33-0150193",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.