Active NPI
Maria Regina Abesa Delozier, M.D.
- Pediatrics Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A124305
- Practice address
- 6911 Convoy CT Dept of
San Diego, CA 92111-1014 - Phone
- (619) 528-5000
- NPI assigned
- Apr 15, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A124305 | CA | Primary |
Addresses
Primary practice location
6911 Convoy CT Dept of
San Diego, CA 92111-1014
Mailing address
393 E Walnut St
Pasadena, CA 91188-0001
Phone (619) 464-6434
Other practice location 1
4725 Market St
San Diego, CA 92102-4715
Phone (619) 515-2560
Other names 1
- Maria Regina Arayata Abesa
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| My Catholic Doctor, P.L.L.C. | Pediatrics | Past | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
8080 Parkway Dr
La Mesa, CA 91942
Phone (619) 589-3456
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
6911 Convoy Ct
San Diego, CA 92111
Phone (619) 644-6500
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
4725 Market St
San Diego, CA 92102
Phone (619) 515-2560
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Family Medicine Physician
- Cedarville, CA
- NPI 1861022873
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Health Maintenance Organization
- Hemet, CA
- NPI 1013433465
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Pediatrics Physician
- New Canaan, CT
- NPI 1396201307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1497071443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 E WALNUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911880001",
"telephone_number": "619-464-6434",
"fax_number": "619-464-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 CONVOY CT DEPT OF",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111014",
"telephone_number": "619-528-5000"
}
],
"practiceLocations": [
{
"address_1": "4725 Market St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921024715",
"country_code": "US",
"telephone_number": "619-515-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOZIER",
"first_name": "MARIA REGINA",
"middle_name": "ABESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A124305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARIA REGINA",
"last_name": "ABESA",
"middle_name": "ARAYATA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.