MAITHE FABIOLA TAMAYO MD
NPI 1487748430
Pediatrics in San Diego, CA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maithe Fabiola Tamayo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maithe Tamayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92113
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
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 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.
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.
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
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 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.
Where is Maithe Tamayo located?
Maithe Tamayo practices at 1809 National Ave, San Diego, CA 92113. The listed phone number is (619) 515-2300.
What is Maithe Tamayo's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Maithe Tamayo enrolled in Medicare?
Yes. Maithe Tamayo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maithe Tamayo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maithe Tamayo reassigns Medicare benefits to Family Health Centers Of San Diego, Inc. (San Diego, CA). The 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 Maithe Tamayo'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 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.
# Maithe Fabiola Tamayo, MD · NPI 1487748430
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1487748430 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A80504 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1809 NATIONAL AVE, San Diego, CA 92113-2113
- **Phone:** (619) 515-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Health Centers Of San Diego, Inc. (NPI 1326231713, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2023
- **Other identifiers:** Medicaid 00A805040 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1487748430) · Data from the CMS NPPES public registry.