NPIMap

Organization Active NPI

Cabrillo Center for Rheumatic Disease Apc

  • Rheumatology Physician
  • San Diego, CA
National Provider Identifier
1689006363
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Arthur Ray Mabaquiao, M.D.NPI 1730271933
Title
President/Owner
Phone
(866) 284-2771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

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 (866) 284-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114001490 CA Part B Supplier - Clinic/Group Practice 9739315037 Receives reassigned benefits from 7 practitioners
Practice locations: San Diego, CA; San Marcos, CA; Poway, CA; El Centro, CA; Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

300 S Pierce St
Ste 203
El Cajon, CA 92020
Phone (619) 507-9685

1550 Pepper Dr
Ste F
El Centro, CA 92243
Phone (858) 467-0610

15725 Pomerado Rd
Ste 117
Poway, CA 92064
Phone (858) 312-1717

6280 Jackson Dr
San Diego, CA 92119
Phone (619) 461-8662

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16606/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1689006363",
    "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": "866-284-2771",
            "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": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MABAQUIAO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "866-284-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 8, 2025; 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.