Active NPI
Theodore Gerard a Caspe MD a Medical Corporation
- Family Medicine Physician
- Rancho Cucamonga, CA
National Provider Identifier
1306068499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A97790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theodore Gerard Aguilar Caspe, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942349113 | Other | CA | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1068049 | Theodore Gerard a Caspe MD | Provider-performed microscopy | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1942349113
-
- Family Nurse Practitioner
- West Covina, CA
- NPI 1053754952
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.