Individual provider Active NPI

Theodore Gerard Aguilar Caspe, MD

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1942349113
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97790 Issued in CA
Practice address
12375 Base Line Rd Ste 104
Rancho Cucamonga, CA 91739-5993
Phone
(909) 899-6969
Fax
(909) 899-9922
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A97790 CA Primary

Addresses

Primary practice location

12375 Base Line Rd Ste 104
Rancho Cucamonga, CA 91739-5993

Mailing address

12375 Base Line Rd Ste 104
Rancho Cucamonga, CA 91739-5993
Phone (909) 899-6969

Other identifiers 1

IdentifierTypeStateIssuer
1306068499OtherCACORPORATE NPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000723 CA Practitioner - Family Practice 5799866091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12375 Baseline Rd
Suite 104
Rancho Cucamonga, CA 91739-5993
Phone (909) 899-6969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97790CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore Gerard a Caspe MD a Medical Corporation Family Medicine CurrentSince Oct 31, 2007 Accepting new patients
Primecare Medical Group Past Accepting new patients

Locations

12375 Base Line Rd
Ste 104
Rch Cucamonga, CA 91739
Phone (909) 899-6969

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: theodore.gerard.caspe.1@3702.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3702/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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1942349113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12375 BASE LINE RD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917395993",
            "telephone_number": "909-899-6969",
            "fax_number": "909-899-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12375 BASE LINE RD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917395993",
            "telephone_number": "909-899-6969",
            "fax_number": "909-899-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPE",
        "first_name": "THEODORE GERARD",
        "middle_name": "AGUILAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1306068499",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.