Oscar Humberto Mauriciofaguada, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3643 Legato CT
Pomona, CA 91766-0980

Phone

(909) 282-8933

NPI assigned

Dec 9, 2020

Sex

Male

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

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1033715404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 LEGATO CT",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917660980",
            "telephone_number": "909-282-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 LEGATO CT",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917660980",
            "telephone_number": "909-282-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICIOFAGUADA",
        "first_name": "OSCAR",
        "middle_name": "HUMBERTO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicki Suzette Mationg
• Karen Miki Matsumura-Lem, D.D.S.
• Maryam Matta
• Edward Angelo Mattera, LVN
• Mellisa Mikhail Matthew
• Bhupendra Mavani
• Farah Mawlawi
• Maxim Healthcare Services Inc.
• Maxim Healthcare Services, Inc.
• Jason Thomas May

• Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.