Ed Carlo Hernandez Mariano

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP95028467 Issued in CA

Practice address

10205 Chaparral Way Unit E
Rancho Cucamonga, CA 91730-3792

Phone

(662) 385-2776

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1396504510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 CHAPARRAL WAY UNIT E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303792",
            "telephone_number": "662-385-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 CHAPARRAL WAY UNIT E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303792",
            "telephone_number": "662-385-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "ED CARLO",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95028467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Marella
• Oscar C Marella, R.P.T
• Mari-Mina Pharmaceuticals Inc
• Mari-Mina Pharmaceuticals Inc
• Olga Maria
• Maricel Domiquel
• Jenny Marin Le
• Crystal Denise Marin
• Mario J Castellanos DDS
• Mark a Welch DO, Inc

• Adult Health Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Adult Health Nurse Practitioner in California

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