Marisol Davalos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95042874 Issued in CA

Practice address

1645 E Tulare Ave
Tulare, CA 93274-3155

Phone

(559) 688-5839

NPI assigned

Nov 11, 2022

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Tulare, CA
  • NPI 1891806998
  NPD (past)

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1497463004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 INTREPID AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E TULARE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932743155",
            "telephone_number": "559-688-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "MARISOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95042874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Da Silva
• Issa Salim Dabeet, PHARMD
• Jazzmond Dailey
• Byron Dallas, FNP-C
• Eduardo Davalos, ASW
• Paula Davalos
• David H. Steed, O.D
• David Heaney, M.D., Inc.
• David S. Humerickhouse DDS, Inc
• Darlene J Day, LMFT

• Registered Nurse in Tulare, CA
• Providers in Tulare, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.