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TIVI MAURO PAC
NPI 1770303323
Physician Assistant in San Diego, CA

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment
3910 INGRAHAM ST APT 14-104, SAN DIEGO, CA 92109(716) 573-6333 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tivi Mauro Pac NPPES

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

TIVI MAURO PAC (NPI 1770303323) is an individual physician assistant in San Diego, California, licensed in California (PA65136) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770303323
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIVI MAUROCredential: PAC
Location Address3910 INGRAHAM ST APT 14-104San Diego, CA 92109-5906
Mailing Address3910 Ingraham St Apt 14-104San Diego, CA 92109-5906 · (716) 573-6333
Phone(716) 573-6333
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1770303323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65136
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.
3910 INGRAHAM ST APT 14-104, San Diego, CA 92109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tivi Mauro Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608306592
PECOS Enrollment IDI20250206003341
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 92109 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 Tivi Mauro's NPI number?

The NPI number for Tivi Mauro is 1770303323. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Tivi Mauro located?

Tivi Mauro practices at 3910 Ingraham St Apt 14-104, San Diego, CA 92109. The listed phone number is (716) 573-6333.

What is Tivi Mauro's specialty?

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

Is Tivi Mauro enrolled in Medicare?

Yes. Tivi Mauro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tivi Mauro was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.