Mara Kamyl Perez Custodio, PA-C
Physician Assistant · La Jolla, CA
Mara Kamyl Perez Custodio, PA-C is a physician assistant with a practice address in La Jolla, California, and NPI 1932729829, issued on Apr 20, 2020. Check the license (California 58937, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mara Kamyl Perez Custodio
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 58937 CA
Self-reported in NPPES; status is on the state search - Practice location
- 9300 Campus Point Dr, La Jolla, CA 92037
- Phone
- (800) 926-8273
- Enumerated
- Apr 20, 2020
- Record last updated
- Jan 27, 2025
- Medicare enrollment
- Enrolled (PECOS I20210824003012); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 9300 Campus Point Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nadia Abu-Douleh, MSN CNM WHNP-BCAdvanced Practice Midwife1851157937
- Alina Adeel, M.DInfectious Disease Physician1831453596
- Delissa Ainsworth, PA-CPhysician Assistant1750734893
- Danielle Aliano, MDHospitalist Physician1891377842
- Emily Allard-Phillips, MDObstetrics & Gynecology Physician1194247635
- Joud AlmogatiDiagnostic Radiology Physician1548931983
Verify Mara Kamyl Perez Custodio in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 58937Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
55% fewer Medicare Part D claims than the average physician assistant in 2024
373 Medicare Part D claims for 141 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Omeprazole97 claims
- Pantoprazole Sodium49 claims
- Gavilyte-G28 claims
- Famotidine26 claims
- Dicyclomine Hcl20 claims
- Peg-3350 And Electrolytes19 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $308.67
5 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Regents OF The University OF CaliforniaSan Diego, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mara Kamyl Perez Custodio among 14,451 physician assistant records in California
Mara Kamyl Perez Custodio, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 62% of them.
- NPI issued2020 · 62% of these records are older, 33% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2020 · median 2018 among the 7,214 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
136 physician assistant records list a practice address in La Jolla
They are 136 of the 3,648 NPPES records with a practice address in La Jolla, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in La Jolla → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Heather Bonaguidi, P.A.La Jolla, CA 920371669458691
- Abha Bosworth, PALa Jolla, CA 920371629067053
- Daniel Collins, P.A.La Jolla, CA 920371548247158
- Doris Elias, P.A.La Jolla, CA 920371457338089
- Karen Fetzer, P.A.-C.La Jolla, CA 920371063490761
- Susan Gilroy, P.A.-C.La Jolla, CA 920371992783575
- Madonna Guzman, P.A.-C.La Jolla, CA 920371871571455
- Christy Kerr, P.A.-C.La Jolla, CA 920371184602336
Common questions
What is Mara Kamyl Perez Custodio, PA-C's NPI number?
Mara Kamyl Perez Custodio, PA-C's National Provider Identifier (NPI) is 1932729829, issued on Apr 20, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Mara Kamyl Perez Custodio, PA-C located?
The NPPES record lists a practice address at 9300 Campus Point Dr, La Jolla, CA, 92037. Phone: (800) 926-8273. Providers update this record themselves, so call before visiting.
How can I verify Mara Kamyl Perez Custodio, PA-C's license?
NPPES lists California license number 58937, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Mara Kamyl Perez Custodio, PA-C prescribe under Medicare Part D?
In 2024, Mara Kamyl Perez Custodio, PA-C had 373 Medicare Part D claims for 141 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Mara Kamyl Perez Custodio, PA-C's MIPS final score?
The 2023 MIPS final score is 85.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.