Individual provider Active NPI

Mariana Nogales, NP

  • Community Health Registered Nurse
  • Calexico, CA
National Provider Identifier
1902065428
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
NP18128 Issued in CA
Practice address
233 West Cole Road
Calexico, CA 92231
Phone
(760) 357-2020
Fax
(760) 357-1056
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X NP18128 CA Primary

Addresses

Primary practice location

233 West Cole Road
Calexico, CA 92231

Mailing address

1166 K St
Brawley, CA 92227-2737
Phone (760) 344-9951

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
I20160411001361 CA Order and Referring Only - Nurse Practitioner 1850699711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP18128CAMDCommunity Health Registered Nurse
18128CAMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: mariana.nogales@ecrmc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1902065428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 K ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272737",
            "telephone_number": "760-344-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WEST COLE ROAD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "92231",
            "telephone_number": "760-357-2020",
            "fax_number": "760-357-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGALES",
        "first_name": "MARIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "NP18128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.