Active NPI
Maria Shellane Crisostomo Aye-Maung, PA-C
- Medical Physician Assistant
- San Francisco, CA
National Provider Identifier
1801880778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 010419-1
- Practice address
- 2 Boynton CT
San Francisco, CA 94114-1305 - Phone
- (415) 845-5571
- NPI assigned
- Sep 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010419-1 | NY | Primary |
| Physician Assistant | 363A00000X | PA18431 | CA |
Addresses
Primary practice location
2 Boynton CT
San Francisco, CA 94114-1305
Mailing address
2 Boynton CT
San Francisco, CA 94114-1305
Phone (415) 845-5571
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
845 15TH St
Suite 103
San Diego, CA 92101-8098
PO Box
Suite 1855
San Ramon, CA 94583
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18431 | CA | MD | Clinical Social Worker |
| 010419-1 | NY | MD | Physical Therapist |
| PA18431 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haramandeep Singh MD Inc | Current | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
2500 Old Crow Canyon Rd
Ste 505
San Ramon, CA 94583
Phone (925) 415-5353
Interoperability endpoints
- https://api.platform.athenahealth.com/2732/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- San Ramon, CA
- NPI 1316105802
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1801880778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BOYNTON CT",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141305",
"telephone_number": "415-845-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BOYNTON CT",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141305",
"telephone_number": "415-845-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYE-MAUNG",
"first_name": "MARIA SHELLANE",
"middle_name": "CRISOSTOMO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "010419-1",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18431",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.