Active NPI
Maren Ashley Attanasio
- Gerontology Clinical Nurse Specialist
- San Diego, CA
National Provider Identifier
1407624901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 5026
- Practice address
- 1964 Chalcedony St Unit 11
San Diego, CA 92109-3410 - Phone
- (619) 339-9088
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 5026 | CA | Primary |
Addresses
Primary practice location
1964 Chalcedony St Unit 11
San Diego, CA 92109-3410
Mailing address
9300 Campus Point Dr # 7-613
La Jolla, CA 92037-1300
Phone (858) 657-0583
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | @health.ucsd.edu | Direct | UC San Diego Health System |
| CONNECT URL | epic | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1407624901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR # 7-613",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 CHALCEDONY ST UNIT 11",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093410",
"telephone_number": "619-339-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTANASIO",
"first_name": "MAREN",
"middle_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "5026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@health.ucsd.edu",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "UC San Diego Health System",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 W Arbor Dr",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921039000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "epic",
"affiliation": "N",
"endpointDescription": "epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 W Arbor Dr",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921039000",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.