Organization Active NPI

Theodore Gerard a Caspe MD a Medical Corporation

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1306068499
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97790 Issued in CA
Legal business name
THEODORE GERARD A CASPE MD A MEDICAL CORPORATION
Practice address
12375 Baseline Rd
Suite 104
Rancho Cucamonga, CA 91739
Phone
(909) 899-6969
Fax
(909) 899-9922
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Theodore Gerard Aguilar Caspe, MDNPI 1942349113
Title
President
Phone
(909) 899-6969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A97790 CA Primary

Addresses

Primary practice location

12375 Baseline Rd
Suite 104
Rancho Cucamonga, CA 91739

Mailing address

12375 Base Line Rd Ste 104
Rancho Cucamonga, CA 91739-5993
Phone (909) 899-6969

Other identifiers 1

IdentifierTypeStateIssuer
1942349113OtherCAINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080205000466 CA Part B Supplier - Clinic/Group Practice 3678656261 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1068049Theodore Gerard a Caspe MD12375 Baseline Rd Ste # 104, Rancho Cucamonga, CA 91739Provider-performed microscopyApr 30, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3702/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1306068499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12375 BASE LINE RD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917395993",
            "telephone_number": "909-899-6969",
            "fax_number": "909-899-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12375 BASELINE RD",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91739",
            "telephone_number": "909-899-6969",
            "fax_number": "909-899-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE GERARD A CASPE MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "CASPE",
        "authorized_official_first_name": "THEODORE GERARD",
        "authorized_official_middle_name": "AGUILAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-899-6969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942349113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.