Individual provider Active NPI

Maria S. McCutchan, M.D.

  • General Practice Physician
  • La Jolla, CA
National Provider Identifier
1790183788
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
GFE24318 Issued in CA
Practice address
8766 Caminito Abrazo
La Jolla, CA 92037-1601
Phone
(858) 453-6945
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X GFE24318 CA Primary

Addresses

Primary practice location

8766 Caminito Abrazo
La Jolla, CA 92037-1601

Mailing address

8766 Caminito Abrazo
La Jolla, CA 92037-1601
Phone (858) 453-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GFE24318CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1790183788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 CAMINITO ABRAZO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371601",
            "telephone_number": "858-453-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 CAMINITO ABRAZO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371601",
            "telephone_number": "858-453-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHAN",
        "first_name": "MARIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "GFE24318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.