Maria Marta Viri Renolayan, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95010961 Issued in CA

Practice address

3325 Palo Verde Ave Ste 203
Long Beach, CA 90808-4132

Phone

(562) 421-8283

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1922568294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PAULARINO AVE APT L105",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263280",
            "telephone_number": "562-881-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE STE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-421-8283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 S Bristol St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927045751",
            "country_code": "US",
            "telephone_number": "714-754-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENOLAYAN",
        "first_name": "MARIA MARTA",
        "middle_name": "VIRI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95010961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "95010961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renew Integrated Program-2
• Renew Integrated Program-2 Inc
• Renew Integrated Program-2 Inc
• Seany Renfrow, PSY.D
• Morgan E Renner, M.D., M.P.H
• Guadelupe Renteria Jr.
• Nancy Renteria, MEDICAL ASSISTANT
• Renu Health Inc
• Reproductive Associates Medical Group, Inc.
• Reproductive Partners Medical Group

• Pediatric Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.