Mark Castillo Macaoay, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8503 Issued in OR

Practice address

1488 Robles Dr
Chula Vista, CA 91911-6902

Phone

(619) 316-7249

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mmacaoay18228@syhealth.direct-ci.com

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1992797583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 ROBLES DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 ROBLES DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116902",
            "telephone_number": "619-316-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAOAY",
        "first_name": "MARK",
        "middle_name": "CASTILLO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Alberto Ma Suy
• Jennifer Ma
• Jennifer Ma
• Lizeth Veronica Ma, LMFT
• Lauren Maalouf, PT, DPT
• Cecile C Macatangay, DMD
• Macben Medical Transportation
• Krystal Mace
• Julio Cesar Yvon Machado
• Christine Machaj

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.