Individual provider Active NPI

Mary Khristeen J Isidro, NP

  • Adult Health Nurse Practitioner
  • Signal Hill, CA
National Provider Identifier
1528822525
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95029020 Issued in CA
Practice address
2855 Temple Ave Ste B
Signal Hill, CA 90755-2212
Phone
(562) 426-7500
Fax
(562) 424-9588
NPI assigned
Feb 9, 2024
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95029020 CA Primary

Addresses

Primary practice location

2855 Temple Ave Ste B
Signal Hill, CA 90755-2212

Mailing address

5360 Silver Canyon Rd Unit D
Yorba Linda, CA 92887-3940
Phone (949) 945-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001598 CA Practitioner - Nurse Practitioner 5698209369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ab Safe Haven Palliative and Hospice Care IncGroup PAC ID 8921285727, 4 clinicians

Practice addresses (Care Compare)

2855 Temple Ave
Suite B
Signal Hill, CA 90755-2212
Phone 5624267500427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Safe Haven Palliative & Hospice Care, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

2855 Temple Ave
Ste B
Signal Hill, CA 90755
Phone (562) 426-7500

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1528822525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 SILVER CANYON RD UNIT D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873940",
            "telephone_number": "949-945-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE B",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500",
            "fax_number": "562-424-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIDRO",
        "first_name": "MARY KHRISTEEN",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95029020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.