Andrea Mascorro

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

787310 Issued in CA

Practice address

500 Crown Point Cir
#100
Grass Valley, CA 95945-9561

Phone

(530) 273-5440

NPI assigned

Feb 12, 2015

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 names 1

• Annie Mascorro Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1104217173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FORESTHILL AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034343",
            "telephone_number": "916-865-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR",
            "address_2": "#100",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459561",
            "telephone_number": "530-273-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCORRO",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "787310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "MASCORRO",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Martin, RPH
• Mirian Liset Martinez Ramirez
• Teresa Natalie Martinez, LCSW
• Kenneth S Marvin, MD
• Peter J Marvin
• Tatiana Mata
• Kortney Mathiesen, AUD
• Barbara Kay Matiska
• Jonathon Patrick Matousek
• Lisa Matson

• Psychiatric/Mental Health Registered Nurse in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.