Individual provider Active NPI

Marlene Batista

  • Family Nurse Practitioner
  • Imperial, CA
National Provider Identifier
1194409979
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025165 Issued in CA
Practice address
2417 Marshall Ave Ste 1
Imperial, CA 92251-9401
Phone
(760) 355-0161
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025165 CA Primary

Addresses

Primary practice location

2417 Marshall Ave Ste 1
Imperial, CA 92251-9401

Mailing address

282 Aurora Dr
El Centro, CA 92243-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429001264 CA Practitioner - Nurse Practitioner 3971943663 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy MD Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Apr 8, 2024 Accepting new patients
Sun Valley Behavioral Medical Center Inc CurrentSince Nov 13, 2024 Accepting new patients

Locations

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 550-1685

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

2417 Marshall Ave
Ste 1
Imperial, CA 92251
Phone (760) 355-0161

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1194409979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 AURORA DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 MARSHALL AVE STE 1",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519401",
            "telephone_number": "760-355-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "MARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

Verify at the official NPI Registry.