THEODORE GERARD A CASPE MD A MEDICAL CORPORATION
NPI 1306068499
Family Medicine in Rancho Cucamonga, CA

Active since May 02, 2007CLIA 05D1068049 · Microscopy
12375 BASELINE RD, SUITE 104, RANCHO CUCAMONGA, CA 91739(909) 899-6969(909) 899-9922 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theodore Gerard A Caspe Md A Medical Corporation NPPES

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

THEODORE GERARD A CASPE MD A MEDICAL CORPORATION (NPI 1306068499) is a healthcare organization registered as a family medicine in Rancho Cucamonga, California and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through April 30, 2027 and lists Theodore Gerard Aguilar Caspe, President, as its authorized official.

NPPES Registry Identity

NPI1306068499
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHEODORE GERARD A CASPE MD A MEDICAL CORPORATION
Location Address12375 BASELINE RD, SUITE 104Rancho Cucamonga, CA 91739
Mailing Address12375 Base Line Rd Ste 104Rancho Cucamonga, CA 91739-5993 · (909) 899-6969 · Fax (909) 899-9922
Fax(909) 899-9922
Organization SubpartNo
Authorized OfficialTheodore Gerard Aguilar CaspePresident · (909) 899-6969
Enumeration DateMay 2, 2007
Last NPPES UpdateSeptember 1, 2026
NPPES CertifiedSeptember 1, 2026
✔ NPI 1306068499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A97790
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12375 BASELINE RD, Rancho Cucamonga, CA 91739

Other Identifiers 1

Other1942349113CA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Gerard A Caspe Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Theodore Gerard A Caspe MD A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1942349113
12375 BASE LINE RD STE 104
Rancho Cucamonga, CA 91739
(909) 899-6969
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1068049

Theodore Gerard A Caspe MD A Medical Corporation · Rancho Cucamonga, CA
Active · expires Apr 30, 2027
CLIA Number05D1068049
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorGerard A. Caspe Theodore
Laboratory Phone(909) 997-3764
Laboratory LocationTheodore Gerard A Caspe MD A Medical Corporation12375 Baseline Rd Ste # 104, Rancho Cucamonga, CA 91739
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Gerard A Caspe MD A Medical Corporation's NPI number?

The NPI number for Theodore Gerard A Caspe MD A Medical Corporation is 1306068499. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Theodore Gerard A Caspe MD A Medical Corporation located?

Theodore Gerard A Caspe MD A Medical Corporation is located at 12375 Baseline Rd Suite 104, Rancho Cucamonga, CA 91739. The listed phone number is (909) 899-6969.

What is Theodore Gerard A Caspe MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Gerard A Caspe MD A Medical Corporation enrolled in Medicare?

Yes. Theodore Gerard A Caspe MD A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theodore Gerard A Caspe MD A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Theodore Gerard A Caspe MD A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Theodore Gerard A Caspe MD A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1068049) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Theodore Gerard A Caspe MD A Medical Corporation was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.