MS. MARY MADRIGAL SANDOVAL RN PHN FNP NPI 1760829543

NPI Information

NPI: 1760829543
Provider Name: MS. MARY MADRIGAL SANDOVAL, RN, PHN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC

PECOS Registration: Yes

Address:
607 DONNA WAY
SAN JACINTO, CA
ZIP 92583
Phone: (951) 654-0803
Get Directions

MS. Mary Madrigal Sandoval, RN, PHN, FNP is a family nurse practitioner in San Jacinto, CA with 5 years of experience. MS. Mary Madrigal Sandoval, RN, PHN, FNP NPI is 1760829543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

607 DONNA WAY
SAN JACINTO, CA
ZIP 92583-517
Phone: (951) 654-0803
Fax: (951) 654-3917

The NPI 1760829543 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 6/3/2013 and was last updated on 8/29/2020.

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	163WC1500X	Registered Nurse	Community Health	531242	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95013490	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	95013490	OTHER	CALIFORNIA	BOARD OF REGISTERED NURSING
2	59378	OTHER	CALIFORNIA	BOARD OF REGISTERED NURSING
3	531242	OTHER	CALIFORNIA	BOARD OF REGISTERED 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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »