Mara Adriana Hainor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19737 Issued in CA

Practice address

625 Lincoln Avenue
San Jose, CA 95126-3692

Phone

(408) 278-3620

Fax

(408) 278-3692

NPI assigned

Jun 4, 2010

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

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

State licenses

Practice roles

Locations

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Neuranimus P C

  • Neurology Physician
  • San Jose, CA
  • NPI 1235863184
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Watsonville, CA
  • NPI 1831587179
  NPD

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1104146836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RACE STREET",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263518",
            "telephone_number": "408-278-3000",
            "fax_number": "408-278-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263692",
            "telephone_number": "408-278-3620",
            "fax_number": "408-278-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Jackson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161917",
            "country_code": "US",
            "telephone_number": "408-508-6218",
            "fax_number": "408-351-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINOR",
        "first_name": "MARA",
        "middle_name": "ADRIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hai Phan DDS Inc
• Priscilla Hai
• Tahera Haidari
• Metti Haile
• Semhar Hailemicael
• Laleh Hajhosseini
• Priscilla Rosario Hajik
• Amanda Joy Hajj
• Anthony Hajjar, DDS, CAGS, MDS
• Meena Hakimi

• Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.