Ofelia Ofrecio Maristela, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A32383 Issued in CA

Practice address

901 Campus Dr
Suite 210
Daly City, CA 94015-4900

Phone

(650) 994-3000

NPI assigned

Jan 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediahealth Medical Group, Inc.

  • Clinic/Center
  • Daly City, CA
  • NPI 1003913971
  NPD (past) Authorized official
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1033264122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BRIGHTON CT",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR",
            "address_2": "SUITE 210",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154900",
            "telephone_number": "650-994-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISTELA",
        "first_name": "OFELIA",
        "middle_name": "OFRECIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A32383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Angara Dental Corporation
• Daniel Maria Pena
• Marianne C Troxell LMFT & Assoc. a Marriage & Family Therapy Corp.
• Tania Kimberly Mariano
• Veronica Marin
• Marivic C Agoncillo DDS Inc
• Mark Tsuchiyose MD Inc (Center for Diabetes and Cardio Metabolic Health)
• Riyan Markos
• Carol Marraccini-Otto, PA-C
• Noah Marsh

• Pediatrics Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.