Maria Jeffervescent Matining Caparas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17154 Issued in CA

Practice address

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715

Phone

(480) 307-4693

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Jeffervescent Matining Caparas Professional name

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next Step Medical IncGroup PAC ID 1254517717, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Next Step Medical Inc.

  • Urgent Care Clinic/Center
  • Oceanside, CA
  • NPI 1164730404
  Medicare reassignment Care Compare group
• Paul E English MD Inc

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609982693
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1992997217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 LUSK BLVD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213715",
            "telephone_number": "480-307-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 LUSK BLVD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213715",
            "telephone_number": "480-307-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31565 Rancho Pueblo Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925924839",
            "country_code": "US",
            "telephone_number": "951-303-1701",
            "fax_number": "951-303-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPARAS",
        "first_name": "MARIA JEFFERVESCENT",
        "middle_name": "MATINING",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "PA3454",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JEFFERVESCENT",
            "last_name": "CAPARAS",
            "middle_name": "MATINING",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benedict Anthony Capacio, MD
• Edgar Sortigosa Capacio, AOD COUNSELOR
• Josef Capacio
• Patricia Herrera Capacio
• Ariella Capannari, MD
• Craig Denotua Caparaz, LVN
• Annaliza Capati
• Angelina Maria Capcino
• Jordi Capdet
• Courtney Lynn Cape, OD

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.

Verify at the official NPI Registry.