Federico Gerardo Maldonado, PA

Primary specialty

Occupational Health Clinical Nurse SpecialistTaxonomy code 364SX0106X

License

PA10014 Issued in CA

Practice address

15022 Mulberry Dr.
Lamirada, CA 90638

Phone

(562) 946-5300

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1396937744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 WASHINGTON AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022233",
            "telephone_number": "562-690-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15022 MULBERRY DR.",
            "city": "LAMIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "562-946-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "FEDERICO",
        "middle_name": "GERARDO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0106X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": "CA",
            "license": "PA10014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Jung and Mary Patuwo Dental Corporation (Smile Up Hygiene and Dental Studio)
• Edjeska Macandili
• Madeleine M Valencerina MD Inc
• Ulises Madrigal
• Justin Mahinan
• Maralyn Therapy
• Louis Edward Marchioli, M.D.
• Levon Margolin, PH.D.
• Raja Hourani Marji, OTR/L
• Claudia Martin, MD

• Clinical Nurse Specialist in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.