Provider Profile

Mara Kamyl P. Custodio, PA-C

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Where to find Mara Kamyl P. Custodio, PA-C

About Mara Kamyl Custodio

Mara Kamyl P. Custodio, PA-C is a physician assistant based in La Jolla, CA. Mara Kamyl is also listed as specializing in student in an organized health care education program. Medicare claims data shows Mara Kamyl provided 191 services to 149 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, replacement of stomach stoma tube, and established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more. The provider's National Provider Identifier (NPI) is 1932729829.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2020

Credentials & Licensing

CA · Physician AssistantPhysician Assistant Board
No. 58937CurrentExpires Jul 2028Since 2020
NPINational Provider Identifier
1932729829Issued 2020

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Mara Kamyl P. Custodio specialize in?

Mara Kamyl P. Custodio is a physician assistant in La Jolla, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Mara Kamyl P. Custodio located?

Mara Kamyl P. Custodio is listed at 9300 Campus Point Dr, La Jolla, CA 92037. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Mara Kamyl P. Custodio's phone number?

The number on file is (800) 926-8273. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Mara Kamyl P. Custodio?

Mara Kamyl P. Custodio's National Provider Identifier is 1932729829. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Mara Kamyl P. Custodio train?

Mara Kamyl P. Custodio attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Mara Kamyl P. Custodio have?

Mara Kamyl P. Custodio has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

What does Mara Kamyl P. Custodio do most often?

According to Medicare billing data, Mara Kamyl P. Custodio performs procedures including replacement of stomach stoma tube, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Mara Kamyl P. Custodio's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Mara Kamyl P. Custodio. If this is you, claiming it is free.

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