Active NPI
Mary Eguia, M.D.
- Family Medicine Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C196414
- Practice address
- 25828 Redlands Blvd
Redlands, CA 92373-8449 - Phone
- (909) 558-6856
- NPI assigned
- Apr 14, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036146878 | IL | |
| Family Medicine Physician | 207Q00000X | C196414 | CA | Primary |
Addresses
Primary practice location
25828 Redlands Blvd
Redlands, CA 92373-8449
Mailing address
File # 54701
Los Angeles, CA 90074-0001
Phone (909) 558-6600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | meguia214736@direct.edward.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221221001075 | NY | Practitioner - Family Practice | 9830447556 | Reassigns benefits to 1 organization |
| I20240822003294 | CA | Practitioner - Family Practice | 9830447556 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Faculty Physicians and Surgeons of Llusm
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3139
Phone (909) 558-4000
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Optima Care Home Health Services Inc
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316279 | NY | MD | Licensed Practical Nurse |
| 036146878 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Family Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File 54701
Los Angeles, CA 90074
Phone (909) 651-4300
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
25828 Redlands Blvd
Redlands, CA 92373
Phone (909) 335-9513
25828 Redlands Blvd
Ste 102
Redlands, CA 92373
Phone (909) 558-6856
400 Kelby St
Fl 7
Fort Lee, NJ 07024
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Interoperability endpoints
- meguia1218146@direct.llu.edu
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- tyg9010@direct.nyp.org
- meguia214736@direct.edward.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
CA
-
- Surgery Physician
- New York, NY
- NPI 1508266347
NY
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Family Medicine
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Orthopaedic Surgery Physician
- Colton, CA
- NPI 1669016499
-
- Ophthalmology Physician
- San Bernardino, CA
- NPI 1962452714
-
- Transplant Surgery Physician
- Las Vegas, NV
- NPI 1124560214
-
- Family Medicine Physician
- Redlands, CA
- NPI 1679043400
Family Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital
-
- Home Health Agency
- Ontario, CA
- NPI 1851628846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1922494061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE # 54701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "909-558-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25828 REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738449",
"telephone_number": "909-558-6856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGUIA",
"first_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036146878",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C196414",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "meguia214736@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "755 N York St",
"city": "Elmhurst",
"state": "IL",
"country_code": "US",
"postal_code": "601261607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.