Active NPI
Maria Camila Arciniegas Calle, MD
- Family Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A174315
- Practice address
- 4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424 - Phone
- (310) 827-3700
- Fax
- (310) 578-5379
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A174315 | CA | Primary |
Addresses
Primary practice location
4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-3060
440 Franklin St
Bloomfield, NJ 07003-4378
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A174315 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Medical Care Group PA | Family Medicine | Current | Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005
Interoperability endpoints
- marciniegascalle1164492@direct.uclahealth.org
Organizations & group practices 1
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": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1740787829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 ADMIRALTY WAY STE 100",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925424",
"telephone_number": "310-827-3700",
"fax_number": "310-578-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCINIEGAS CALLE",
"first_name": "MARIA",
"middle_name": "CAMILA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A174315",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.