Individual provider Active NPI

Maricar Gador, AGNP-C

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1437928736
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG12230028 Issued in CA
Practice address
11152 Accra LN
San Diego, CA 92131-2661
Phone
(858) 603-4208
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG12230028 CA
Gerontology Nurse Practitioner 363LG0600X AG12230028 CA
Nurse Practitioner 363L00000X AG12230028 CA Primary

Addresses

Primary practice location

11152 Accra LN
San Diego, CA 92131-2661

Mailing address

11152 Accra LN
San Diego, CA 92131-2661
Phone (185) 860-3420

Other names 1

  • Maricar Caparas Former name

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
I20240221000029 CA Practitioner - Nurse Practitioner 6608210422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LF Capital, Inc.Group PAC ID 0244595502, 2 clinicians

Practice addresses (Care Compare)

438 Camino del Rio S
Suite 203
San Diego, CA 92108-3546
Phone (619) 955-8507

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG12230028CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VPS of Mi PLLC CurrentSince Feb 2, 2024 Accepting new patients
LF Capital Inc CurrentSince May 1, 2024 Accepting new patients

Locations

438 Camino del Rio S
Ste 203
San Diego, CA 92108
Phone (619) 955-8507

31500 W 13 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 509-4070

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1437928736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11152 ACCRA LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312661",
            "telephone_number": "185-860-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11152 ACCRA LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312661",
            "telephone_number": "858-603-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOR",
        "first_name": "MARICAR",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "AG12230028",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "AG12230028",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "AG12230028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARICAR",
            "last_name": "CAPARAS",
            "credential": "BSN RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.