Individual provider Active NPI

Kaitlyn Kartika Mailangkay, DNP, RN, CPNP-PC

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1518826536
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95038194 Issued in CA
Practice address
4444 Magnolia Ave Ste 300
Riverside, CA 92501-4136
Phone
(951) 684-8020
NPI assigned
Jan 16, 2026
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95038194 CA Primary

Addresses

Primary practice location

4444 Magnolia Ave Ste 300
Riverside, CA 92501-4136

Mailing address

15623 Curry PL
Fontana, CA 92336-3581
Phone (909) 319-5244

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95038194CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mario Carcamo MD Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1518826536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15623 CURRY PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363581",
            "telephone_number": "909-319-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MAGNOLIA AVE STE 300",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014136",
            "telephone_number": "951-684-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILANGKAY",
        "first_name": "KAITLYN",
        "middle_name": "KARTIKA",
        "credential": "DNP, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95038194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.