Max Caccese, M.D.
Individual provider Active NPI Emergency Medicine Physician · San Diego, CA
NPI 1922534494 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1922534494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A157113 (CA)
- Practice address
- 200 W Arbor Dr
#8676
San Diego, CA 92103-9000 - Phone
- (619) 543-6463
- Fax
- (619) 543-3115
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monterey Bay Observation Medicine
Community Hospital of the Monterey Peninsula
Practice addresses (Care Compare)
23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 625-4900
Hospital & facility affiliations
- Community Hospital of the Monterey Peninsula
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.53 of 100
- Quality
- 97.98
- Improvement activities
- 0
- Cost
- 82.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200605001577 | CA | Practitioner - Emergency Medicine | 2668893298 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157113 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Current |
Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Monterey Bay Observation Medicine | Emergency Medicine | Current |
Accepting new patients |
| Community Hospital of the Monterey Peninsula | Current |
Accepting new patients | |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | A157113 | CA | Yes |
Addresses
Primary practice location
200 W Arbor Dr
#8676
San Diego, CA 92103-9000
Mailing address
200 W Arbor Dr
#8676
San Diego, CA 92103-9000
Phone (619) 543-6463
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- Christian Cacho
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All providers in San Diego, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.