KRISTINE PORTO MADURSKI PA
NPI 1053403782
Physician Assistant in San Ysidro, CA

Q: What is Kristine Porto Madurski's NPI number?

The NPI number for Kristine Porto Madurski is 1053403782. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Kristine Porto Madurski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 29, 2006PECOS Enrolled

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 428-4463(619) 428-2625 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, Apr 25, 2017 (2 updates tracked since 2017).

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About Kristine Porto Madurski Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE PORTO MADURSKI PA (NPI 1053403782) is an individual physician assistant in San Ysidro, California, licensed in California (PA16269) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053403782

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTINE PORTO MADURSKICredential: PA

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 428-4463 · Fax (619) 428-2625

Phone(619) 428-4463

Fax(619) 428-2625

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

✔ NPI 1053403782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA16269

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4004 BEYER BLVD, San Ysidro, CA 92173

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Other Identifiers 1

OtherFHC18880FMedi Cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Porto Madurski Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)