MR. RONALD MAR TENORIO ATILLO AG-ACNP-BC NPI 1346747391

NPI Information

NPI: 1346747391
Provider Name: MR. RONALD MAR TENORIO ATILLO, AG-ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103
Phone: (800) 926-8273
Get Directions

MR. Ronald Mar Tenorio Atillo, AG-ACNP-BC is an acute care nurse practitioner in San Diego, CA. MR. Ronald Mar Tenorio Atillo, AG-ACNP-BC NPI is 1346747391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103-000
Phone: (800) 926-8273

The NPI 1346747391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 5/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	95008863	CALIFORNIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	95008863	CALIFORNIA	No
3	363LA2100X	Nurse Practitioner	Acute Care	95008863	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95008863	OTHER	CALIFORNIA	FURNISHING NUMBER
2	768953	OTHER	CALIFORNIA	BOARD OF NURSING
3	2000070078	OTHER	CALIFORNIA	AMERICAN ASSOCIATION OF CRITICAL CARE NURSES
4	95008863	OTHER	CALIFORNIA	CALIFORNIA BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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