Individual provider Active NPI

Christina J Caputo, PA

  • Physician Assistant
  • Yorba Linda, CA
National Provider Identifier
1366771891
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20674 Issued in CA
Practice address
18300 Yorba Linda Blvd
Yorba Linda, CA 92886-4052
Phone
(714) 577-6031
Fax
(714) 572-2562
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20674 CA Primary

Addresses

Primary practice location

18300 Yorba Linda Blvd
Yorba Linda, CA 92886-4052

Mailing address

18200 Yorba Linda Blvd
Suite 401
Yorba Linda, CA 92886-4056
Phone (714) 646-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000233 CA Practitioner - Physician Assistant 8224172432 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.39
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 9, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 9, 2017 Accepting new patients
Cep America - California CurrentSince Sep 1, 2014 Accepting new patients
Yorba Linda Family Physicians, a Medical Group, Inc. Past Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366771891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD",
            "address_2": "SUITE 401",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864056",
            "telephone_number": "714-646-8000",
            "fax_number": "714-572-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864052",
            "telephone_number": "714-577-6031",
            "fax_number": "714-572-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "CHRISTINA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.