Mayra Alejandra Preciado

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

431 Shadow Tree Dr
Oceanside, CA 92058-7022

Phone

(760) 362-3966

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1093366726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ROJA ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920574317",
            "telephone_number": "760-472-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SHADOW TREE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587022",
            "telephone_number": "760-362-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "D9588865",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Rose Powell, OTR/L
• Christina Powell
• Michelle Powers, LMFT
• Jody Pratt-Harrington
• Catherine Anne Elizabeth Pratt, NP
• David B. Pregerson, M.D.
• Premier Health Nursing Corp PC
• Helen Elizabeth Prendergass, CADC II, ICADC
• Lorissa Jeneffer Prescott
• Morgan Prest

• Attendant Care Provider in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.