MARIA LOURDES S MARA MD - A MEDICAL CORP
NPI 1679890644
Clinic/Center in San Diego, CA
About Maria Lourdes S Mara Md - A Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA LOURDES S MARA MD - A MEDICAL CORP (NPI 1679890644) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since April 2010. The organization lists Maria Lourdes De Los Santos Mara, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maria Lourdes S Mara Md - A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maria Lourdes S Mara MD - A Medical Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Maria Lourdes S Mara MD - A Medical Corp's NPI number?
The NPI number for Maria Lourdes S Mara MD - A Medical Corp is 1679890644. It was assigned to this organization in the NPPES registry on April 29, 2010.
Where is Maria Lourdes S Mara MD - A Medical Corp located?
Maria Lourdes S Mara MD - A Medical Corp is located at 2939 Alta View Dr Ste J, San Diego, CA 92139. The listed phone number is (619) 475-5411.
What is Maria Lourdes S Mara MD - A Medical Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Maria Lourdes S Mara MD - A Medical Corp enrolled in Medicare?
Yes. Maria Lourdes S Mara MD - A Medical Corp is registered in the Medicare PECOS enrollment system.
When is Maria Lourdes S Mara MD - A Medical Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Maria Lourdes S Mara MD - A Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Maria Lourdes S Mara MD - A Medical Corp. 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.
When was this NPI record last updated?
The NPPES record for Maria Lourdes S Mara MD - A Medical Corp was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Maria Lourdes S Mara Md - A Medical Corp · NPI 1679890644
Clinic/Center organization in San Diego, California. Organization record, active in the CMS NPPES registry since April 29, 2010.
## Identity
- **NPI:** 1679890644 (Entity type: Organization)
- **Enumerated:** April 29, 2010
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Maria Lourdes Mara, PRESIDENT
## Practice location
- **Address:** 2939 ALTA VIEW DR STE J, San Diego, CA 92139-3394
- **Phone:** (619) 475-5411 · **Fax:** (619) 475-1839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2011
- **Other identifiers:** Medicare UPIN F96657 (CA); Medicare PIN DJ250A (CA); Medicaid 00A518642 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1679890644) · Data from the CMS NPPES public registry.