Active NPI
Anita Samanego Tolentino-Macaraeg, M.D.
- Pediatrics Physician
- Hollister, CA
National Provider Identifier
1194828996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A52490
- Practice address
- 591 McCray St Ste 231
Hollister, CA 95023-2224 - Phone
- (831) 636-3116
- NPI assigned
- Sep 7, 2006
- Last updated
- Feb 11, 2025
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | CA | NONE 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
| License | State | Type | Specialty |
|---|---|---|---|
| A52490 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- anita.tolentino-macareag.1@25176.direct.athenahealth.com
- anita.tolentinomacaraeg@hhch.eclinicaldirectplus.com
- 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.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba San Benito Health Care District
- General Acute Care Hospital
- Hollister, CA
- NPI 1275578817
-
- Family Medicine Physician
- Hollister, CA
- NPI 1043630106
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.