Sheila Marie G Maderazo, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95010140 Issued in CA

Practice address

2079 Compton Ave Ste B102
Corona, CA 92881-7284

Phone

(951) 371-6600

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1073172680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E JAY ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 COMPTON AVE STE B102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817284",
            "telephone_number": "951-371-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERAZO",
        "first_name": "SHEILA MARIE",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95010140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Maciel
• Rocquel Mack, LVN
• Cheyenne Mackey Arline
• Mitra Bolbolan Macmillan, D.D.S
• Brigett Lynn Maddaluna
• Valeria Edda Madrid Malo Bohorquez, M.D.
• Rosario Madrid
• Alaska Madrigal-Flores
• Jennifer Madrigal
• Shaina Maffei

• Acute Care Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.