Mary Metildi, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

403116 Issued in CA

Practice address

19442 Sunray LN Unit 104
Huntington Beach, CA 92648-6403

Phone

(949) 837-7000

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1447401930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23591 EL TORO",
            "address_2": "155",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-899-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19442 SUNRAY LN UNIT 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486403",
            "telephone_number": "949-837-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METILDI",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "403116",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "403116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Merrill, COTA/L
• Dylan Brenn Merritt
• Sherry Meseid
• Jennifer Morgan Messenger, DDS, MS
• Joseph Messerschmidt
• Amr Metwali, DC
• Marissa Christine Meyer Burkes, DO
• Wendy Meyer-Eberhard, H.A.D. BC-HIS ACA
• Rabih Mezher
• Michael P. Wilson, DDS, Inc

• Home Health Registered Nurse in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.