MAITHE FABIOLA TAMAYO MD
NPI 1487748430
Pediatrics in San Diego, CA

Q: What is Maithe Tamayo's NPI number?

The NPI number for Maithe Tamayo is 1487748430. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Maithe Fabiola Tamayo-Bedregal MD.

Q: What is Maithe Tamayo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maithe Tamayo was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 03, 2006PECOS Enrolled

1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2023, May 18, 2023, May 3, 2023 and 2 more (5 updates tracked since 2017).

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About Maithe Fabiola Tamayo Md NPPES

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

MAITHE FABIOLA TAMAYO MD (NPI 1487748430) is an individual pediatrics provider in San Diego, California, licensed in California (A80504) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1487748430

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMAITHE FABIOLA TAMAYOCredential: MD

Location Address1809 NATIONAL AVESan Diego, CA 92113-2113

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 515-2300

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateMay 23, 20235 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1487748430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A80504

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1809 NATIONAL AVE, San Diego, CA 92113

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Other Names 1

Former Name (1)Maithe Fabiola Tamayo-bedregal Md

Secondary Practice Location 1

Location 12391 Island AveSan Diego, CA 92102-2941 · Phone (619) 515-2435

Other Identifiers 1

Medicaid00A805040CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maithe Fabiola Tamayo Md 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 92113 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

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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.

ISMAEL LABRA HERNANDEZ

Nutritionist (Nutrition, Education)