MARIA IMELDA MATONDO BAGUIA (NPI# 1194180828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194180828 |
| Entity Type | Individual |
| Full Name | MARIA IMELDA MATONDO BAGUIA |
| Credential | ARNP |
| Practice Address |
913 Washington St Calistoga CA 94515 |
| Mailing Address |
913 Washington St Calistoga CA 94515-1433 |
| Practice Telephone | 7079426233 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95008174 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9255153 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4421 Sun N Lake Blvd, Suite B, Sebring, FL 338722166 | 8633829600 | 8633820107 |
| Street Address |
913 WASHINGTON ST |
| City | CALISTOGA |
| State | CA |
| Zip Code | 94515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710963400 | Andrew G Alexander | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2005-12-15 |
| 1720385818 | Adventist Health Physicians Network | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2011-02-25 |
| 1710284963 | Adventist Health Physicians Network | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2011-02-24 |
| 1407025943 | Adventist Health California Medical Group, Inc. | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2008-02-28 |
| 1598975138 | Jeanette Michelle Williams | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2007-05-23 |
| 1609938893 | Daniel Martin Haycraft | Psychiatry & Neurology | 913 Washington St, Calistoga, CA 94515-1433 | 2006-12-14 |
| 1679549281 | Charles Hudson | Psychiatry & Neurology | 913 Washington St, Calistoga, CA 94515-1433 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093296402 | Erin Bolick | Student in an Organized Health Care Education/Training Program | 1426 Filmore Street, San Francisco, CA 94515 | 2018-08-23 |
| 1992182232 | Zoe Foster | Massage Therapist | 505 Dutch Henry Canyon, Calistoga, CA 94515 | 2015-05-06 |
| 1871833129 | Leroy E. Bowser | Dentist | 1619 Washington Street, Calistoga, CA 94515 | 2013-02-25 |
| 1760660831 | Ole Health | Clinic/Center | 911 Washington St., Calistoga, CA 94515 | 2008-01-31 |
| 1316031826 | John Paul Fletcher | Chiropractor | 1227 Lincoln Avenue, Suite B, Calistoga, CA 94515 | 2006-10-02 |
| 1114035169 | Robert P Albanese Jr. | Internal Medicine | 1812 Fair Way, Calistoga, CA 94515 | 2006-08-29 |
| 1477553675 | Gabriela Bermudez | Family Medicine | 911 Washington St, Calistoga, CA 94515 | 2005-07-28 |
| 1194819953 | Fletcher Chiropractic, Inc | Chiropractor | 1227 Lincoln Avenue, Suite B, Calistoga, CA 94515 | 2006-10-03 |
| 1275797151 | Duffy's Myrtledale, Inc. | Substance Abuse Rehabilitation Facility | 3076 Myrtledale Rd, Calistoga, CA 94515-1052 | 2008-07-10 |
| 1659741643 | Duffy's Napa Valley Rehab, LLC | Substance Abuse Rehabilitation Facility | 3076 Myrtledale Rd, Calistoga, CA 94515-1052 | 2015-10-02 |
| Find all providers in zip 94515 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.