Doctor profile · Federal record
Dr. Mara Kamyl Custodio, PA-C
Physician Assistant · Student in an Organized Health Care Education/Training Program · La Jolla, CA
- NPI 1932729829
- Accepts Medicare
- MIPS 76.4 / 100 · 2023
- 6 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
9300 Campus Point Dr
La Jolla, CA 920371300
(800) 926-8273 - Additional location
-
200 W Arbor Dr
San Diego, CA 921039000 - Additional location
-
4303 la Jolla Village Dr
San Diego, CA 921221394 - Additional location
-
910 Vine St
Los Angeles, CA 900382702
(866) 499-8252 - Mailing address
-
File 57326
Los Angeles, CA 900740001
Show 1 more location
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- January 27, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #58937
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932729829. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$309
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, Inc. | 1 | $146.48 | |
| Gilead Sciences, Inc. | 1 | $107.22 | |
| ABBVIE INC. | 3 | $54.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
129
Patients
98
Total drug cost
$4,805
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 38 | 19 | $801 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 35 | 35 | $2,842 |
| Pantoprazole Sodium | Generic | 28 | 16 | $641 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 16 | 16 | $292 |
| Gavilyte-C (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 12 | 12 | $228 |
Hospital affiliations
Frequently asked questions
What is Dr. Mara Kamyl Custodio's medical specialty?
Dr. Mara Kamyl Custodio practices Physician Assistant in La Jolla, CA.
Where does Dr. Mara Kamyl Custodio practice?
Dr. Mara Kamyl Custodio practices at 9300 Campus Point Dr, La Jolla, CA 920371300. Office phone: 8009268273.
What is Dr. Mara Kamyl Custodio's NPI?
Dr. Mara Kamyl Custodio's National Provider Identifier (NPI) is 1932729829, issued by NPPES.
Does Dr. Mara Kamyl Custodio accept Medicare assignment?
Yes. Dr. Mara Kamyl Custodio accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.