Individual provider Active NPI

Maria Shellane Crisostomo Aye-Maung, PA-C

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1801880778
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010419-1 Issued in NY
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

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001943 CA Practitioner - Physician Assistant 5496976441 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
18431CAMDClinical Social Worker
010419-1NYMDPhysical Therapist
PA18431CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Haramandeep Singh MD Inc CurrentSince Jan 16, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.