Individual provider Active NPI

Mary C. Cueva, M.D.

  • Family Medicine Physician
  • Vista, CA
National Provider Identifier
1023008083
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34120 Issued in CA
Practice address
326 S Melrose Dr Ste 200
Vista, CA 92081-6682
Phone
(760) 291-6700
Fax
(760) 330-9331
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G34120 CA Primary

Addresses

Primary practice location

326 S Melrose Dr Ste 200
Vista, CA 92081-6682

Mailing address

225 East Second Avenue
Escondido, CA 92025-4941
Phone (760) 291-6700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000563 CA Practitioner - Family Practice 2567547425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

326 S Melrose Dr
Suite 200
Vista, CA 92081-6618
Phone (866) 228-2236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G34120CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graybill Medical Group Inc Family Medicine CurrentSince Sep 7, 2010 Accepting new patients
Palomar Health Past Accepting new patients

Locations

332 S Juniper St
Ste 100
Escondido, CA 92025
Phone (760) 291-6650

225 E 2nd Ave
Escondido, CA 92025

3142 Vista Way
Ste 100
Oceanside, CA 92056
Phone (760) 721-3200

326 S Melrose Dr
Fl 2
Vista, CA 92081

2067 W Vista Way
Ste 250
Vista, CA 92083
Phone (760) 724-7171

840 Townsite Dr
Vista, CA 92084
Phone (619) 630-2422

326 S Melrose Dr
Ste 200
Vista, CA 92081
Phone (760) 291-6650

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1023008083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254941",
            "telephone_number": "760-291-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S MELROSE DR STE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816682",
            "telephone_number": "760-291-6700",
            "fax_number": "760-330-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVA",
        "first_name": "MARY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.