Sonia Madrigal, FNP
Individual provider Active NPI Nurse Practitioner · Littlerock, CA
NPI 1982138491 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1982138491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95006463 (CA)
- Practice address
- 10242 East Ave R-4
Littlerock, CA 93543 - Phone
- (661) 733-2958
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95006463 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95006463 | CA | Yes |
Addresses
Primary practice location
10242 East Ave R-4
Littlerock, CA 93543
Mailing address
10242 E Avenue R4
Littlerock, CA 93543-1310
Phone (661) 733-2958
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All providers in Littlerock, CA · 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 Apr 12, 2017. 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.