Active NPI
Madelaine Mabunga Aquino, M.D.
- Physical Medicine & Rehabilitation Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A85500
- Practice address
- 10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7286 - Phone
- (209) 943-6740
- Fax
- (209) 943-6744
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A85500 | CA | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7286
Mailing address
10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7286
Phone (209) 943-6740
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7288
Phone (209) 943-6740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A85500 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madelaine Aquino, M.D. Inc. | Current | Accepting new patients | |
| Clinton Back & Neck Care Center | Past | Accepting new patients | |
| Doctors Hospital of Manteca, Inc. | Past | Accepting new patients |
Locations
10200 Trinity Pkwy
Ste 207
Stockton, CA 95219
Phone (209) 943-6740
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Stockton, CA
- NPI 1518188366
-
dba Doctors Hospital of Manteca
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- Chiropractor
- Clinton, IA
- NPI 1336196195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1841379856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 207",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197286",
"telephone_number": "209-943-6740",
"fax_number": "209-943-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 207",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197286",
"telephone_number": "209-943-6740",
"fax_number": "209-943-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "MADELAINE",
"middle_name": "MABUNGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A85500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.