Marlene Batista
Individual provider Active NPI Family Nurse Practitioner · Imperial, CA
NPI 1194409979 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1194409979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95025165 (CA)
- Practice address
- 2417 Marshall Ave Ste 1
Imperial, CA 92251-9401 - Phone
- (760) 355-0161
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240429001264 | CA | Practitioner - Nurse Practitioner | 3971943663 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025165 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Valley Behavioral Medical Center Inc | Current |
Accepting new patients | |
| Legacy MD Medical Group Inc | Current |
Accepting new patients | |
| Molina Healthcare of California | Current |
Accepting new patients |
Locations
222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95025165 | CA | Yes |
Addresses
Primary practice location
2417 Marshall Ave Ste 1
Imperial, CA 92251-9401
Mailing address
282 Aurora Dr
El Centro, CA 92243-4572
Other providers in Imperial, CA
- Diana Laura Avalos
- Brenda Ayala-Castillo
- Gabriella Ayala
- B&R Counseling Services
- Jackie M Bacuzzi-Cowdrick
- Leticia Mina Beltran
- Emily Betty Bill
- Stephanie Michelle Brammer
- Priscilla Brown
- Armando Camarena
All providers in Imperial, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.