Active NPI
Mary Ann Maina
- Registered Nurse
- Temecula, CA
National Provider Identifier
1639874167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 784259
- Practice address
- 45483 Peacock PL
Temecula, CA 92592-4829 - Phone
- (858) 201-8050
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 784259 | CA | Primary |
Addresses
Primary practice location
45483 Peacock PL
Temecula, CA 92592-4829
Mailing address
45483 Peacock PL
Temecula, CA 92592-4829
Phone (858) 201-8050
Other practice location 1
45483 Peacock Pl
Temecula, CA 92592-4829
Phone (858) 201-8050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 784259 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1639874167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45483 PEACOCK PL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924829",
"telephone_number": "858-201-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45483 PEACOCK PL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924829",
"telephone_number": "858-201-8050"
}
],
"practiceLocations": [
{
"address_1": "45483 Peacock Pl",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925924829",
"country_code": "US",
"telephone_number": "858-201-8050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAINA",
"first_name": "MARY ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "784259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.