Individual provider Active NPI

Marian Grace Enriquez

  • Psychiatric/Mental Health Nurse Practitioner
  • Arroyo Grande, CA
National Provider Identifier
1376478974
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95038564 Issued in CA
Practice address
536 Camino Mercado Ste 536
Arroyo Grande, CA 93420-1814
Phone
(805) 540-0279
NPI assigned
Jun 15, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95038564 CA Primary

Addresses

Primary practice location

536 Camino Mercado Ste 536
Arroyo Grande, CA 93420-1814

Mailing address

4869 Independence St
Chino, CA 91710-1725
Phone (657) 255-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4869 Independence St
Chino, CA 91710-1725

536 Camino Mercado
Arroyo Grande, CA 93420-1814

PO Box
Pasadena, CA 91189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Desert Psychiatry Inc CurrentSince Aug 1, 2026 Accepting new patients
Central Coast Behavioral Health, Inc. Psychiatric/Mental Health CurrentSince Aug 1, 2026 Accepting new patients

Locations

536 Camino Mercado
Arroyo Grande, CA 93420
Phone (346) 502-3707

536 Camino Mercado
Ste 536
Arroyo Grande, CA 93420

353 E Park Ave
El Cajon, CA 92020
Phone (323) 893-5844

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1376478974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 INDEPENDENCE ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101725",
            "telephone_number": "657-255-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 CAMINO MERCADO STE 536",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201814",
            "telephone_number": "805-540-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "MARIAN GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.