NPIMap

Individual provider Active NPI

Arthur Ray Mabaquiao, M.D.

  • Rheumatology Physician
  • San Diego, CA
National Provider Identifier
1730271933
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
207RR0500X Issued in CA
Practice address
5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117
Phone
(619) 334-4869
Fax
(619) 334-4940
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 207RR0500X CA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 511491
Los Angeles, CA 90051-8046
Phone (866) 284-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000708 CA Practitioner - RheumatologyPractitioner - Internal Medicine 1052330453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cabrillo Center for Rheumatic Disease ApcGroup PAC ID 9739315037, 5 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.86 of 100Reported as group
Quality
10
Improvement activities
0
Cost
70.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207RR0500XCAMDRheumatology Physician
A61769CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grossmont Hospital Corporation Past Accepting new patients
A. Ray Mabaquiao, M.D. Apmc PastSince Jun 1, 2005 Accepting new patients
Puja Chitkara M.D. a Medical Corporation Rheumatology PastSince Sep 15, 2013 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Cabrillo Center for Rheumatic Disease Apc Past Accepting new patients
Loma Linda University Physicians Medical Group Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1730271933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511491",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900518046",
            "telephone_number": "866-284-2771",
            "fax_number": "822-334-1041"
        },
        {
            "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": {
        "last_name": "MABAQUIAO",
        "first_name": "ARTHUR",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "207RR0500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.