Individual provider Active NPI

Maureen L Morgan-Baldwin, LVN

  • Licensed Vocational Nurse
  • Perris, CA
National Provider Identifier
1194546887
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
220872 Issued in CA
Practice address
3656 Ginger St Ste B-1
Perris, CA 92571-7825
Phone
(310) 490-4753
Fax
(951) 200-4761
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 220872 CA Primary

Addresses

Primary practice location

3656 Ginger St Ste B-1
Perris, CA 92571-7825

Mailing address

3656 Ginger St
Perris, CA 92571-7825
Phone (818) 818-1817

Other practice location 1

1779 E Florida Ave Ste B1
Hemet, CA 92544-4601
Phone (310) 490-4753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
220872CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Erica B Independent Living Facility CurrentSince Oct 27, 2024 Accepting new patients
Erica B Independent Living Facility PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1194546887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 GINGER ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717825",
            "telephone_number": "818-818-1817",
            "fax_number": "951-200-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 GINGER ST STE B-1",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717825",
            "telephone_number": "310-490-4753",
            "fax_number": "951-200-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1779 E Florida Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925444601",
            "country_code": "US",
            "telephone_number": "310-490-4753",
            "fax_number": "951-200-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN-BALDWIN",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "220872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.