Nallely Yasel Carvajal
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Imperial, CA
NPI 1093626848 · NPPES record last updated Sep 12, 2026
Key facts
- NPI
- 1093626848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 95388866 (CA)
- Practice address
- 480 Treshill Rd Apt 274
Imperial, CA 92251-9813 - Phone
- (760) 540-8413
- NPI assigned
- Sep 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 95388866 | CA | Yes |
Addresses
Primary practice location
480 Treshill Rd Apt 274
Imperial, CA 92251-9813
Mailing address
480 Treshill Rd Apt 274
Imperial, CA 92251-9813
Phone (760) 540-8413
Other providers in Imperial, CA
- Stephanie Michelle Brammer
- Priscilla Brown
- Armando Camarena
- Julio Camargo
- Freddy Carreno
- Diana Ivette Castaneda
- Michelle Marie Castillon
- Aida Castro
- Amanda Nicole Castro
- Kyara Dominik Castro
All providers in Imperial, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.