NPIMap

Individual provider Active NPI

Maereg Wassie, M.D

  • Interventional Cardiology Physician
  • La Jolla, CA
National Provider Identifier
1730533506
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A156422 Issued in CA
Practice address
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone
(858) 824-5222
NPI assigned
Apr 19, 2016
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A156422 CA Primary

Addresses

Primary practice location

9898 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 824-5222

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
I20200430001283 CA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 9133559362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Enloe Health and WellnessGroup PAC ID 3678946282, 38 clinicians
Stanislaus Cardiology GroupGroup PAC ID 2264468008, 6 clinicians

Practice addresses (Care Compare)

185 E 7TH Ave
Chico, CA 95926-3356
Phone (530) 332-4400

198 Cohasset Rd
Chico, CA 95926-2202
Phone (530) 332-3350

3621 Forest Glenn Dr
Modesto, CA 95355-1339
Phone (209) 521-9661

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156422CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Current Accepting new patients
Enloe Medical Center Interventional Cardiology CurrentSince Aug 1, 2024 Accepting new patients
Enloe Health and Wellness Current Accepting new patients
Enloe Health and Wellness CurrentSince Aug 1, 2024 Accepting new patients
Stanislaus Cardiology Group CurrentSince Sep 1, 2025 Accepting new patients
Enloe Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Enloe Health and Wellness CurrentSince Aug 1, 2024 Accepting new patients
Summit Surgery Center Modesto, Inc PastSince Sep 25, 2019 Accepting new patients

Locations

1601 Esplanade
Chico, CA 95926
Phone (530) 332-7148

185 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400

198 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3318

3621 Forest Glenn Dr
Modesto, CA 95355
Phone (209) 521-7411

654 Lyell Dr
Ste A
Modesto, CA 95356
Phone (209) 521-9661

2860 Olive Hwy
Ste B
Oroville, CA 95966
Phone (530) 332-3355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1022
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1730533506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-824-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 GENESEE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-824-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSIE",
        "first_name": "MAEREG",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A156422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.