MS. MARY METILDI (NPI# 1447401930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447401930 |
| Entity Type | Individual |
| Full Name | MS. MARY METILDI |
| Credential | RN |
| Practice Address |
19442 Sunray Ln Unit 104 Huntington Beach CA 92648-6403 |
| Mailing Address |
23591 El Toro 155 Lake Forest CA 92691 |
| Practice Telephone | 9498377000 |
| Mailing Telephone | 9498997717 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2013-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 403116 | CA | Nursing Service Providers |
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
403116 | CA | Nursing Service Providers |
| Street Address |
19442 SUNRAY LN UNIT 104 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093148 | Edith K Augustt | Registered Nurse | 8954 Reseda Blvd Ste 201, Northridge, CA 91324-6507 | 2020-11-04 |
| 1962002741 | Hayley Michelle Ohlwiler | Registered Nurse | 10 Waverly Pl, Ladera Ranch, CA 92694-0220 | 2020-10-29 |
| 1326647835 | Jazmin Flores | Registered Nurse | 230 N Sherman Ave, Corona, CA 92882-1843 | 2020-10-26 |
| 1700483153 | Anton Vu | Registered Nurse | 11222 Garden Grove Blvd, Garden Grove, CA 92843-1338 | 2020-10-07 |
| 1164036950 | Carol Theresa Brown | Registered Nurse | 14582 Agave St, Moreno Valley, CA 92553-7164 | 2020-08-31 |
| 1073127841 | Janice Richardson | Registered Nurse | 15986 Turtle Bay Pl, Fontana, CA 92336-4543 | 2020-08-31 |
| 1285247601 | Abena Bonsu | Registered Nurse | 5362 Fairview Blvd, Los Angeles, CA 90056-2308 | 2020-08-25 |
| 1710590245 | International Medical Group Inc, Home Healthcare & Hospice | Registered Nurse | 14431 Ventura Blvd Ste 507, Sherman Oaks, CA 91423-2606 | 2020-08-25 |
| 1942810049 | Andrew Christian Malintang | Registered Nurse | 1466 Shane Ct, Redlands, CA 92374-5710 | 2020-08-04 |
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
Please comment or provide details below to improve the information on MS. MARY METILDI.
| 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.