MISS MARY JANE MAUN-VIDUYA PA
NPI 1962663005
Physician Assistant in Shafter, CA

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
655 S CENTRAL VALLEY HWY, SHAFTER, CA 93263(661) 746-9194(661) 746-9197 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Mary Jane Maun-viduya Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MARY JANE MAUN-VIDUYA PA (NPI 1962663005) is an individual physician assistant in Shafter, California, licensed in California (PA19777) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1962663005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS MARY JANE MAUN-VIDUYACredential: PA
Location Address655 S CENTRAL VALLEY HWYShafter, CA 93263-2790
Mailing Address659 S Central Valley Hwy, P.o. Box 1060Shafter, CA 93263-2790 · (661) 459-1900 · Fax (661) 459-1974
Fax(661) 746-9197
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateDecember 22, 2011
NPI 1962663005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA19777
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
655 S CENTRAL VALLEY HWY, Shafter, CA 93263

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Mary Jane Maun-viduya Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557401999
PECOS Enrollment IDI20091216000402
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93263 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263
Physician Assistant
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263
Chiropractor
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263
Clinic/Center (Community Health)
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263
Chiropractor
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263
Pediatrics
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263
Clinic/Center (Federally Qualified Health Center (FQHC))
655 S CENTRAL VALLEY HWY
SHATER, CA 93263
Dental Hygienist
655 S CENTRAL VALLEY HWY
SHAFTER, CA 93263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Maun-viduya's NPI number?

The NPI number for Mary Maun-viduya is 1962663005. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Mary Maun-viduya located?

Mary Maun-viduya practices at 655 S Central Valley Hwy, Shafter, CA 93263. The listed phone number is (661) 746-9194.

What is Mary Maun-viduya's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Maun-viduya enrolled in Medicare?

Yes. Mary Maun-viduya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Maun-viduya was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.