Active NPI
Madeline Prado, NP
- Family Nurse Practitioner
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017187
- Practice address
- 3151 Crow Canyon PL Ste C
San Ramon, CA 94583-1359 - Phone
- (925) 202-0340
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017187 | CA | Primary |
Addresses
Primary practice location
3151 Crow Canyon PL Ste C
San Ramon, CA 94583-1359
Mailing address
2151 Risdon Rd
Concord, CA 94518-3026
Other names 1
- Madeline Marroquin
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
Enrollment records 1
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
Practice addresses (Care Compare)
3151 Crow Canyon PL
San Ramon, CA 94583-1359
Phone (925) 202-0340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017187 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Express of California Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients |
Locations
3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319
66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114
3151 Crow Canyon Pl
Ste C
San Ramon, CA 94583
Phone (925) 202-0340
3151 Crow Canyon Pl
San Ramon, CA 94583
Phone (925) 202-0340
2878 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 658-5338
Organizations & group practices 4
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.
-
- Infusion Therapy Clinic/Center
- Fremont, CA
- NPI 1447604525
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1235245275
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1346262292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1659917201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 RISDON RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 CROW CANYON PL STE C",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831359",
"telephone_number": "925-202-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "MADELINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "MARROQUIN",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.