Mara Kamyl Custodio, PA-C
NPI 1932729829 · Physician Assistant · La Jolla, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mara Kamyl Custodio, PA-C is a Physician Assistant provider in La Jolla, CA (NPI 1932729829).
Provider details
- NPI number
- 1932729829
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 58937 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
191 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $111 |
| Replacement of Stomach Stoma Tube43762 | 24 | $30 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 23 | $157 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 18 | $14 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $79 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 97 | 37 |
| Pantoprazole Sodium | 49 | 21 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 28 | 26 |
| Famotidine | 26 | 11 |
| Dicyclomine Hcl | 20 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 19 | 18 |
| Lipase/Protease/Amylasebrand: Creon | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$309 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 910 Vine StLos Angeles, CA 90038-2702Phone: (866) 499-8252
- 4303 La Jolla Village DrSan Diego, CA 92122-1394Phone: (800) 926-8273
- 200 W Arbor DrSan Diego, CA 92103-9000Phone: (800) 926-8273
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Mara Kamyl Custodio's NPI number?
- Mara Kamyl Custodio's National Provider Identifier (NPI) is 1932729829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mara Kamyl Custodio's specialty?
- Mara Kamyl Custodio is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mara Kamyl Custodio located?
- Mara Kamyl Custodio's practice location on file with NPPES is 9300 Campus Point Dr, La Jolla, CA 92037-1300.
- What is Mara Kamyl Custodio's phone number?
- The practice phone number listed in the NPPES registry for Mara Kamyl Custodio is (800) 926-8273.
- Does Mara Kamyl Custodio accept Medicare?
- Mara Kamyl Custodio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mara Kamyl Custodio's NPI active?
- Yes — Mara Kamyl Custodio's NPI (1932729829) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.