Individual provider Active NPI

Marie Aquino, PA

  • Physician Assistant
  • Oceanside, CA
National Provider Identifier
1740469659
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16179 Issued in CA
Practice address
2741 Vista Way
Suite 111
Oceanside, CA 92054-6372
Phone
(760) 757-0222
Fax
(760) 757-0224
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16179 CA Primary

Addresses

Primary practice location

2741 Vista Way
Suite 111
Oceanside, CA 92054-6372

Mailing address

2741 Vista Way
Suite 111
Oceanside, CA 92054-6372
Phone (760) 757-0222

Other names 1

  • Marie Cueto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000555 CA Practitioner - Physician Assistant 3476597626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians

Practice addresses (Care Compare)

1580 Broadway
El Cajon, CA 92021-5124
Phone (619) 441-8745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Past Accepting new patients
Csi Medical Group PastSince Mar 10, 2017 Accepting new patients
Thrive Physical Medicine Inc Past Accepting new patients
Omar Osman Practice, LLC Past Accepting new patients
Victor J Tomassetti a Professional Chiropractic Corporation Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1740469659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 VISTA WAY",
            "address_2": "SUITE 111",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546372",
            "telephone_number": "760-757-0222",
            "fax_number": "760-757-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 VISTA WAY",
            "address_2": "SUITE 111",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546372",
            "telephone_number": "760-757-0222",
            "fax_number": "760-757-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CUETO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.