Individual provider Active NPI

Kandin Maraquin

  • Physician Assistant
  • Chino Hills, CA
National Provider Identifier
1760033278
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295
Phone
(909) 630-7868
Fax
(909) 469-2109
NPI assigned
Sep 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 Primary

Addresses

Primary practice location

3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295

Mailing address

1415 Ledgestone LN
Pomona, CA 91767-3566
Phone (909) 764-4478

Other practice location 1

2333 Foothill Blvd Ste C
LA Verne, CA 91750-3027
Phone (909) 392-6511

Other practice location 2

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Other identifiers 1

IdentifierTypeStateIssuer
1760033278MedicaidCA

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
I20210920002232 CA Practitioner - Physician Assistant 0749687648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 190
Claremont, CA 91711-6600
Phone (909) 865-9977

1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Phone (909) 469-9494

2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6802
Phone (909) 630-7875

2333 Foothill Blvd
La Verne, CA 91750-3027
Phone (909) 392-6501

Merit-based Incentive Payment System (MIPS)

Final score
55.43 of 100Reported as group
Quality
13.12
Promoting interoperability
100
Improvement activities
0
Cost
74.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc CurrentSince Sep 27, 2021 Accepting new patients
Premier Family Medicine Associates, Inc CurrentSince Sep 27, 2021 Accepting new patients

Locations

3110 Chino Ave
Ste 150A
Chino Hills, CA 91709
Phone (909) 630-7490

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Organizations & group practices 3

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1760033278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LEDGESTONE LN",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673566",
            "telephone_number": "909-764-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 150B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091295",
            "telephone_number": "909-630-7868",
            "fax_number": "909-469-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503027",
            "country_code": "US",
            "telephone_number": "909-392-6511",
            "fax_number": "909-469-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Monte Vista Ave Ste 190",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917116600",
            "country_code": "US",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAQUIN",
        "first_name": "KANDIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760033278",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.