Organization Active NPI

Cabrillo Center for Rheumatic Disease Apc

  • Non-Pharmacy Dispensing Site
  • San Diego, CA
National Provider Identifier
1508795097
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CABRILLO CENTER FOR RHEUMATIC DISEASE APC
Practice address
5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117
Phone
(619) 334-4869
Fax
(619) 334-4940
NPI assigned
May 19, 2026
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CABRILLO CENTER FOR RHEUMATIC DISEASE APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Marella Mabaquiao
Title
Office Manager
Phone
(619) 334-4869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117

Mailing address

5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117
Phone (619) 334-4869

National Provider Directory

National Provider Directory
Part of
Cabrillo Center for Rheumatic Disease Apc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1508795097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083117",
            "telephone_number": "619-334-4869",
            "fax_number": "619-334-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083117",
            "telephone_number": "619-334-4869",
            "fax_number": "619-334-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRILLO CENTER FOR RHEUMATIC DISEASE APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABRILLO CENTER FOR RHEUMATIC DISEASE APC",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "MABAQUIAO",
        "authorized_official_first_name": "MARELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-334-4869"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.