Active NPI
Gina Maraio, D.O.
- Family Medicine Physician
- Oceanside, CA
National Provider Identifier
1104962042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A7479
- Practice address
- 1547 Mission Meadows Dr
Oceanside, CA 92057-4804 - Phone
- (760) 908-3080
- Fax
- (760) 940-1545
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A7479 | CA | Primary |
Addresses
Primary practice location
1547 Mission Meadows Dr
Oceanside, CA 92057-4804
Mailing address
1547 Mission Meadows Dr
Oceanside, CA 92057-4804
Phone (760) 908-3080
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160304001451 | CA | Order and Referring Only - General Practice | 2769438589 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7479 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 20A7479 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1104962042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 MISSION MEADOWS DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920574804",
"telephone_number": "760-908-3080",
"fax_number": "760-940-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 MISSION MEADOWS DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920574804",
"telephone_number": "760-908-3080",
"fax_number": "760-940-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAIO",
"first_name": "GINA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A7479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.