Individual provider Active NPI

Mariz Cayetano

  • Primary Care Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1922972660
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95034358 Issued in CA
Practice address
6832 51St St
San Diego, CA 92120-1254
Phone
(858) 349-0553
NPI assigned
Oct 4, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95034358 CA Primary

Addresses

Primary practice location

6832 51St St
San Diego, CA 92120-1254

Mailing address

6832 51St St
San Diego, CA 92120-1254
Phone (858) 349-0553

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
I20251230001680 CA Practitioner - Nurse Practitioner 2365938321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farschad Birdjandi MD IncGroup PAC ID 1052655628, 9 clinicians

Practice addresses (Care Compare)

4033 6TH Ave
San Diego, CA 92103-2202
Phone (619) 297-4086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034358CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farschad Birdjandi MD Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

4033 6th Ave
San Diego, CA 92103
Phone (619) 287-3270

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1922972660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 51ST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201254",
            "telephone_number": "858-349-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 51ST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201254",
            "telephone_number": "858-349-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYETANO",
        "first_name": "MARIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95034358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.