CAROLINE MAIN
NPI 1730678855
Physician Assistant in Sherman Oaks, CA

Q: What is Caroline Main's NPI number?

The NPI number for Caroline Main is 1730678855. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Q: What is Caroline Main's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: Is Caroline Main enrolled in Medicare?

No. Caroline Main has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Caroline Main was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 03, 2018Opted out of Medicare · through Jan 1, 2028

91.37/100

CMS Quality Rating

4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403(818) 981-7111 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Caroline Main NPPES

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

CAROLINE MAIN (NPI 1730678855) is an individual physician assistant in Sherman Oaks, California and active in the NPI registry since May 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1730678855

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLINE MAIN

Location Address4929 VAN NUYS BLVDSherman Oaks, CA 91403-1702

Mailing Address6223 Ranchito AveVan Nuys, CA 91401-2215 · (818) 577-8205

Phone(818) 981-7111

Sole ProprietorNo

Enumeration DateMay 3, 2018

✔ NPI 1730678855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4929 VAN NUYS BLVD, Sherman Oaks, CA 91403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Caroline Main has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.09

Improvement Activities

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.

JEFFERY C PEAK M.D.

Anesthesiology