Maila Tolentino Patubo, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

646549 Issued in CA

Practice address

47915 Oasis St
Indio, CA 92201-6950

Phone

(760) 863-8638

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Maila Garasi Tolentino Other name

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1447868146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84358 SCARLET WAY",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922367337",
            "telephone_number": "760-771-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47915 OASIS ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016950",
            "telephone_number": "760-863-8638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84358 Scarlet Way",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922367337",
            "country_code": "US",
            "telephone_number": "760-771-7032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATUBO",
        "first_name": "MAILA",
        "middle_name": "TOLENTINO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "646549",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "646549",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "646549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAILA",
            "last_name": "TOLENTINO",
            "middle_name": "GARASI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brianna Lynn Parrish-Perez
• Shraddha Patel, PMHNP
• Monica Patino-Ayala, M.A.
• Tamara Sue Pattison, M.S. CCC-SLP
• Carmela Tolentino Patubo, LVN
• Christian Payan
• Dave Charles Pearson
• Kurt Lennart Pearson
• Laroy Rayshawn Pearson
• Gema Pelayo

• Psychiatric/Mental Health Registered Nurse in Indio, CA
• Providers in Indio, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.