Kristine Porto Madurski, PA

NPI: 1053403782

Kristine Porto Madurski, PA

Q: What is Kristine Porto Madurski's NPI number?

Kristine Porto Madurski's NPI number is 1053403782, a unique 10-digit identifier issued by CMS.

Q: What does Kristine Porto Madurski specialize in?

Kristine Porto Madurski specializes in Physician Assistant, taxonomy code 363A00000X.

Q: Where does Kristine Porto Madurski practice?

Kristine Porto Madurski practices in San Ysidro, CA 92173-2007.

Q: When was Kristine Porto Madurski's NPI issued?

Kristine Porto Madurski's NPI was issued on September 29, 2006.

Q: What is Kristine Porto Madurski's provider type?

Kristine Porto Madurski is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPhysician Assistant

NPI issued: September 29, 2006

Quick Facts

NPI Number

1053403782

TypeIndividual

StatusActive

SpecialtyPhysician Assistant

Taxonomy363A00000X — Physician Assistant

Phone

(619) 428-4463

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1053403782)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (September 29, 2006)

Data source: CMS NPPES

Provider Overview

KRISTINE PORTO MADURSKI, PA is a Physician Assistant provider based in San Ysidro, CA who has been registered with CMS since 2006. They are affiliated with Southern California Permanente Medical Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053403782

Provider TypeIndividual Provider

GenderFemale

CredentialPA

StatusActive

Enumeration DateSeptember 29, 2006

Practice Location

CitySan Ysidro

StateCA

ZIP Code92173-2007

Phone(619) 428-4463

Specialties & Licenses

★ Primary

SpecialtyPhysician Assistant

Taxonomy Code363A00000X

License StateCA

Mailing Address

CitySan Ysidro

StateCA

ZIP Code92173-2007

Phone(619) 428-4463

Same as practice location

Hospital & Organization Affiliations

🏢

Southern California Permanente Medical Group

📍 San Diego, CA

Hospital NPIY→

How to Use This NPI

📋

For Insurance Billing

Use NPI 1053403782 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053403782for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053403782 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

Browse all Physician Assistantproviders →

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