Active NPI
Mae K Caragay, PA-C
- Physician Assistant
- Orosi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19874
- Practice address
- 12586 Ave. 408
Orosi, CA 93647-9454 - Phone
- (559) 528-2804
- Fax
- (559) 528-7623
- NPI assigned
- Oct 8, 2008
- Last updated
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19874 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | PA19874 | CA |
Addresses
Primary practice location
12586 Ave. 408
Orosi, CA 93647-9454
Mailing address
305 East Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19874 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Thomas and Flatow Medical Corporation | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
Organizations & group practices 8
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 Pacific Mind Health
- Psychiatry Physician
- Torrance, CA
- NPI 1659970333
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
dba Gateway To Recovery
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health Otay
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1922051812
-
dba Telecare Downtown Los Angeles
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1194052647
-
dba Valley Vista Permanent Supportive Housing
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
dba Pacific Mind Health
- Psychiatry Physician
- Long Beach, CA
- NPI 1609377902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1376794222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EAST CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "559-737-4700",
"fax_number": "559-737-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12586 AVE. 408",
"city": "OROSI",
"state": "CA",
"postal_code": "936479454",
"telephone_number": "559-528-2804",
"fax_number": "559-528-7623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAGAY",
"first_name": "MAE",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19874",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA19874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orosi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.