Active NPI
Maureen L Morgan-Baldwin, LVN
- Licensed Vocational Nurse
- Perris, CA
National Provider Identifier
1194546887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 220872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 220872 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erica B Independent Living Facility | Current | Accepting new patients | |
| Erica B Independent Living Facility | Past | 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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Perris, CA
- NPI 1780434829
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hemet, CA
- NPI 1689475105
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.