Active NPI
Maximillian Israel
- Physician Assistant
- Valencia, CA
National Provider Identifier
1982184669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090 - Phone
- (213) 228-3538
- NPI assigned
- Aug 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090
Mailing address
28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090
Phone (213) 228-3538
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181115002378 | CA | Practitioner - Physician Assistant | 2466706163 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wound Docs ApcIzuchukwu Okpara MD Inc
Practice addresses (Care Compare)
1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321
28212 Kelly Johnson Pkwy
Suite 200
Valencia, CA 91355-5090
Phone (213) 228-3538
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.03 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 33.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1982184669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 200",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555090",
"telephone_number": "213-228-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 200",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555090",
"telephone_number": "213-228-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "MAXIMILLIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.