Angelica Ariana Maldonado, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20434 Issued in CA

Practice address

3030 Tyler Ave
El Monte, CA 91731-3352

Phone

(626) 350-9540

NPI assigned

Oct 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• A Shawn Adhami M D a Professional Corporation

  • General Practice Physician
  • Montebello, CA
  • NPI 1932315827
  Medicare reassignment

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1992030084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 S ATLANTIC BLVD",
            "address_2": "#302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546839",
            "telephone_number": "951-764-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313352",
            "telephone_number": "626-350-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ANGELICA",
        "middle_name": "ARIANA",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Bernardo Magana, RDN
• Lisa Maher
• Alla Dreicer Mak
• Kristine Malana, MSW
• Meredith Malata
• Mark Malit, O.D.
• Lori Elizabeth Manning
• Mark M. Song M.D., Inc.
• Jonathan Marques, ATC
• Annete Marquez, LVN

• Physician Assistant in El Monte, CA
• Providers in El Monte, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.

Verify at the official NPI Registry.