Organization Active NPI

Maricar Cutillar Garcia MD Inc

  • Allergy Physician
  • Valencia, CA
National Provider Identifier
1154101061
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
MARICAR CUTILLAR GARCIA MD INC
Practice address
23838 Valencia Blvd Ste 302
Valencia, CA 91355-5336
Phone
(661) 607-2759
Fax
(661) 678-0281
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maricar Cutillar Garcia, MD
Title
MD/Owner
Phone
(661) 607-2759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

23838 Valencia Blvd Ste 302
Valencia, CA 91355-5336

Mailing address

25706 Shady Oak LN
Valencia, CA 91381-0769
Phone (661) 607-2759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025002873 CA Part B Supplier - Clinic/Group Practice 9436505518 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, CA; Burbank, CA; Valencia, CA

National Provider Directory

National Provider Directory

Locations

23838 Valencia Blvd
Ste 302
Valencia, CA 91355
Phone (661) 607-2759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1154101061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25706 SHADY OAK LN",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810769",
            "telephone_number": "661-607-2759",
            "fax_number": "661-678-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD STE 302",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555336",
            "telephone_number": "661-607-2759",
            "fax_number": "661-678-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICAR CUTILLAR GARCIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARICAR",
        "authorized_official_middle_name": "CUTILLAR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "661-607-2759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.