Individual provider Active NPI

Marisol Tienda, RN, BSN, MSN, FNP-C

  • Family Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1609417161
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95012231 Issued in CA
Practice address
115 Mall Dr
Hanford, CA 93230-5786
Phone
(559) 582-9000
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95012231 CA Primary

Addresses

Primary practice location

115 Mall Dr
Hanford, CA 93230-5786

Mailing address

1719 W Meadow Ave
Visalia, CA 93277-2243
Phone (559) 903-0063

Other practice location 1

1719 W Meadow Ave
Visalia, CA 93277-2243
Phone (559) 903-0063

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
I20191125000350 CA Practitioner - Nurse Practitioner 8527490994 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1141 Rose Ave
Selma, CA 93662-3241
Phone (559) 891-1000

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP95012231CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Urgent Care Inc CurrentSince Oct 1, 2022 Accepting new patients
Rapid Care Center of Visalia Inc CurrentSince Sep 1, 2023 Accepting new patients
Cep America - California CurrentSince Nov 1, 2019 Accepting new patients
Galen Inpatient Physicians Inc CurrentSince Feb 5, 2021 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Feb 5, 2021 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Cep America - California Current Accepting new patients
Eric N Sorensen M.D. Inc. CurrentSince Nov 1, 2022 Accepting new patients
Cep America-California CurrentSince Nov 1, 2019 Accepting new patients

Locations

9700 El Camino Real
Ste 100
Atascadero, CA 93422
Phone (805) 461-9000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1028 N Douty St
Hanford, CA 93230
Phone (559) 530-2526

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

783 Quintana Rd
Ste 1
Morro Bay, CA 93442
Phone (805) 771-0108

2 James Way
Ste 214
Pismo Beach, CA 93449
Phone (805) 295-6594

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

5127 W Noble Ave
Visalia, CA 93277
Phone (559) 303-6299

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1609417161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 W MEADOW AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772243",
            "telephone_number": "559-903-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MALL DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305786",
            "telephone_number": "559-582-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 W Meadow Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932772243",
            "country_code": "US",
            "telephone_number": "559-903-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIENDA",
        "first_name": "MARISOL",
        "credential": "RN, BSN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.