Individual provider Active NPI

Kathryn Maiorano, PA-C

  • Physician Assistant
  • Fontana, CA
National Provider Identifier
1770910770
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23289 Issued in CA
Practice address
7798 Cherry Ave
Fontana, CA 92336-4014
Phone
(909) 355-1296
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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 PA23289 CA Primary

Addresses

Primary practice location

7798 Cherry Ave
Fontana, CA 92336-4014

Mailing address

7798 Cherry Ave
Fontana, CA 92336-4014

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
I20161104002066 CA Practitioner - Physician Assistant 5991083339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharpcare Medical Group ApcGroup PAC ID 0244518736, 23 clinicians

Practice addresses (Care Compare)

2437 Fenton St
Suite a
Chula Vista, CA 91914-3517
Phone (619) 297-0866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23289CAMDSpeech-Language Pathologist
PA23289CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Healthcare Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Patient First Richmond Medical Group PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmaiorano34086@sharphealthcare.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1770910770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7798 CHERRY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7798 CHERRY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364014",
            "telephone_number": "909-355-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORANO",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.