Active NPI
Giovanni Maya
- Registered Nurse
- Ceres, CA
National Provider Identifier
1275958829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 737100
- Practice address
- 1904 Richland Ave
Suite a
Ceres, CA 95307-4562 - Phone
- (209) 303-8800
- NPI assigned
- Feb 19, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 737100 | CA | Primary |
Addresses
Primary practice location
1904 Richland Ave
Suite a
Ceres, CA 95307-4562
Mailing address
1601 Westridge PL
Modesto, CA 95358-1082
Phone (209) 480-8251
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 |
|---|---|---|---|
| 737100 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1275958829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WESTRIDGE PL",
"city": "MODESTO",
"state": "CA",
"postal_code": "953581082",
"telephone_number": "209-480-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 RICHLAND AVE",
"address_2": "SUITE A",
"city": "CERES",
"state": "CA",
"postal_code": "953074562",
"telephone_number": "209-303-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYA",
"first_name": "GIOVANNI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "737100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.