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JOSE DE JESUS MACIAS-ZACARIAS AGACNP-BC
NPI 1336910744
Nurse Practitioner - Acute Care in Pomona, CA

Active since January 15, 2024PECOS Enrolled
447 DEBORAH DR, POMONA, CA 91767(626) 536-9684 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose De Jesus Macias-zacarias Agacnp-bc NPPES

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

JOSE DE JESUS MACIAS-ZACARIAS AGACNP-BC (NPI 1336910744) is an individual acute care provider in Pomona, California, licensed in California (95028662) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336910744
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOSE DE JESUS MACIAS-ZACARIASCredential: AGACNP-BC
Location Address447 DEBORAH DRPomona, CA 91767-2377
Mailing Address447 Deborah DrPomona, CA 91767-2377 · (626) 536-9684
Phone(626) 536-9684
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 13, 2024
✔ NPI 1336910744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95028662
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95028662 (CA)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 95028662 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95028662 (CA)
447 DEBORAH DR, Pomona, CA 91767
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Other Names 1

Other Name (5)Jose Macias Agacnp-bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose De Jesus Macias-zacarias Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911442330
PECOS Enrollment IDI20240710002011
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Macias-zacarias reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mallu Reddy, M.D. Inc.
1.3 mi
Internal Medicine
1196 N PARK AVE
Pomona, CA 91768
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mallu Reddy MD Inc
  • 7 clinicians in this Medicare group
NPI 1184821340 (909) 623-4050
Pulmonary Consultants And Wellness Center Inc PC
36 mi
Internal Medicine
555 E HARDY ST, IRA KAUFMAN PAVILLON
Inglewood, CA 90301
  • Reassigned Medicare billing, California enrollment
  • 39 clinicians in this Medicare group
NPI 1427440304 (310) 680-8095

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jose Macias-zacarias's NPI number?

The NPI number for Jose Macias-zacarias is 1336910744. It was assigned to this individual provider in the NPPES registry on January 15, 2024. The provider is also known as Jose Macias Agacnp-Bc.

Where is Jose Macias-zacarias located?

Jose Macias-zacarias practices at 447 Deborah Dr, Pomona, CA 91767. The listed phone number is (626) 536-9684.

What is Jose Macias-zacarias's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jose Macias-zacarias enrolled in Medicare?

Yes. Jose Macias-zacarias is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Macias-zacarias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Macias-zacarias reassigns Medicare benefits to 2 organizations: Mallu Reddy, M.D. Inc. (Pomona, CA) and Pulmonary Consultants And Wellness Center Inc PC (Inglewood, CA). Each 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 Jose Macias-zacarias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Macias-zacarias was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.