Maria Lourdes S Mara MD - a Medical Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A51864

Legal business name

MARIA LOURDES S MARA MD - A MEDICAL CORP

Practice address

2939 Alta View Dr Ste J
San Diego, CA 92139-3394

Phone

(619) 475-5411

Fax

(619) 475-1839

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Maria Lourdes De Los Santos Mara, M.D.NPI 1376515924

Title

President

Phone

(619) 475-5411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Lourdes De Los Santos Mara, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1376515924
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1679890644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 ALTA VIEW DR STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393394",
            "telephone_number": "619-475-5411",
            "fax_number": "619-475-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 ALTA VIEW DR STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393394",
            "telephone_number": "619-475-5411",
            "fax_number": "619-475-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LOURDES S MARA MD - A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "MARA",
        "authorized_official_first_name": "MARIA LOURDES",
        "authorized_official_middle_name": "DE LOS SANTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-475-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": "A51864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A518642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Lynn Margheritis, DNP
• Emily Angela Margolin, MD
• Ellen Beth Margolis, PHD
• Maria Belinsky Psychotherapy Group, a Professional Corporation
• Maria C Bautista MD Inc
• Maria Rhi DDS, Professional Dental Corporatoin
• Maria Theresa O Villa, PC
• Dani Maria, PHARM.D.
• Robyn Kim Marian, BCBA
• Amanda Mariano

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.