Individual provider Active NPI

Magdalina Aquino Malicdem

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1306134879
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
796964 Issued in CA
Practice address
427 C St
212
San Diego, CA 92101-5100
Phone
(619) 238-4180
Fax
(619) 238-4245
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 796964 CA Primary

Addresses

Primary practice location

427 C St
212
San Diego, CA 92101-5100

Mailing address

427 C St
212
San Diego, CA 92101-5100
Phone (619) 238-4180

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
796964CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1306134879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 C ST",
            "address_2": "212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015100",
            "telephone_number": "619-238-4180",
            "fax_number": "619-238-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 C ST",
            "address_2": "212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015100",
            "telephone_number": "619-238-4180",
            "fax_number": "619-238-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALICDEM",
        "first_name": "MAGDALINA",
        "middle_name": "AQUINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "796964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.