Marites N Macasadia, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15254 Issued in CA

Practice address

610 Euclid Ave
Suite 302
National City, CA 91950-2951

Phone

(619) 527-7700

Fax

(619) 527-2336

NPI assigned

Jun 29, 2006

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

Other identifiers 1

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mmacasadia32467@sharphealthcare.direct-ci.com

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1093743015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-527-7700",
            "fax_number": "619-527-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-527-7700",
            "fax_number": "619-527-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASADIA",
        "first_name": "MARITES",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0062450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Luxottica of America Inc. (Lenscrafters #137)
• M Hirota DMD a Dental Corporation
• M Yavari DDS PC
• Fharak Maa Chip, M.D.
• Vanessa Machado
• Carla Macias, RN
• John Michael Macleod
• Michelle Mak, DNP, FNP-BC, CPNP-PC
• Julia Maldonado, ASW

• Medical Physician Assistant in National City, CA
• Providers in National City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.