Maria Socorro Agorrilla, FNP
Individual provider Active NPI Family Nurse Practitioner · Temecula, CA
NPI 1659775708 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1659775708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP95001560 (CA)
- Practice address
- 44274 George Cushman CT Ste 212
Temecula, CA 92592-5945 - Phone
- (951) 694-4688
- Fax
- (888) 827-3492
- NPI assigned
- Oct 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525002757 | CA | Practitioner - Nurse Practitioner | 9537462155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95001560 | CA | MD | Family Nurse Practitioner |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Excellence Inc | Current |
Accepting new patients | |
| Menifee Global Multi-Specialty Group Inc | Past |
Accepting new patients |
Locations
1003 E Florida Ave
Ste 101
Hemet, CA 92543
Phone (310) 990-3461
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95001560 | CA | Yes |
Addresses
Primary practice location
44274 George Cushman CT Ste 212
Temecula, CA 92592-5945
Mailing address
1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111
Other practice location 1
31736 Mission Trl Ste G
Lake Elsinore, CA 92530-4533
Phone (951) 674-1505
Other providers in Temecula, CA
- Nina Marie Aghakhani
- Robin M Aghbashian
- Rozeta Aglione
- Agm Medical Group, P.C.
- Jason Agnetti
- Aditya Agrawal
- Nina Rebecca Aguele
- Aida Aguilar
- Priscilla Aguilar
- Victoria Yael Aguilar
All providers in Temecula, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.