Individual provider Active NPI

Mae K Caragay, PA-C

  • Physician Assistant
  • Orosi, CA
National Provider Identifier
1376794222
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19874 Issued in CA
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000161 CA Practitioner - Physician Assistant 4880728112 Reassigns benefits to 3 organizations

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
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

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

LicenseStateTypeSpecialty
PA19874CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Jul 9, 2015 Accepting new patients
Telecare Corporation CurrentSince Jul 9, 2015 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Oct 16, 2013 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Oct 16, 2013 Accepting new patients
Thomas and Flatow Medical Corporation PastSince Jun 7, 2020 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.

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

Verify at the official NPI Registry.