Individual provider Active NPI

Anita Samanego Tolentino-Macaraeg, M.D.

  • Pediatrics Physician
  • Hollister, CA
National Provider Identifier
1194828996
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A52490 Issued in CA
Practice address
591 McCray St Ste 231
Hollister, CA 95023-2224
Phone
(831) 636-3116
NPI assigned
Sep 7, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A52490 CA Primary

Addresses

Primary practice location

591 McCray St Ste 231
Hollister, CA 95023-2224

Mailing address

591 McCray St Ste 231
Hollister, CA 95023-2224
Phone (831) 636-3116

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherCANONE PROVIDER NUMBEER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52490CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Your Medical Group, Inc Past Accepting new patients
County of Santa Clara Past Accepting new patients
Hazel Hawkins Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anita.tolentino-macareag.1@25176.direct.athenahealth.com
  • Direct secure messaging: anita.tolentinomacaraeg@hhch.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/18704/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1194828996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 231",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-636-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 231",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-636-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO-MACARAEG",
        "first_name": "ANITA",
        "middle_name": "SAMANEGO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A52490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE PROVIDER NUMBEER",
            "identifier": "000000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.