Individual provider Active NPI

Rosario P Maiolino, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Rancho Santa Fe, CA
National Provider Identifier
1699005330
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
436094 Issued in CA
Practice address
18347 Calle la Serra
Rancho Santa Fe, CA 92091-0123
Phone
(619) 602-1635
Fax
(858) 832-1436
NPI assigned
Dec 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 436094 CA Primary

Addresses

Primary practice location

18347 Calle la Serra
Rancho Santa Fe, CA 92091-0123

Mailing address

18347 Calle la Serra
Rancho Santa Fe, CA 92091-0123
Phone (858) 832-1436

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
436094CAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1699005330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18347 CALLE LA SERRA",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920910123",
            "telephone_number": "858-832-1436",
            "fax_number": "858-832-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18347 CALLE LA SERRA",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920910123",
            "telephone_number": "619-602-1635",
            "fax_number": "858-832-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIOLINO",
        "first_name": "ROSARIO",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "436094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Fe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.