MAYRA CARBONI (NPI# 1508240862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508240862 |
| Entity Type | Individual |
| Full Name | MAYRA CARBONI |
| Credential | N.P. |
| Practice Address |
1415 Ross Ave El Centro CA 92243-4306 |
| Mailing Address |
686 Bahia St Imperial CA 92251-8002 |
| Practice Telephone | 7603397254 |
| Practice Fax Number | 7603394514 |
| Mailing Telephone | 7609961452 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95002659 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP | NPF95002659 | 01 |
| Street Address |
1415 ROSS AVE |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494569 | Michael K Berry | Emergency Medicine | 1415 Ross Ave, El Centro, CA 92243-4306 | 2005-08-12 |
| 1952913022 | Sandra Iris Torres | Nurse Practitioner | 1415 Ross Ave, El Centro, CA 92243-4306 | 2020-08-20 |
| 1083237648 | Y Hoang | Pharmacist | 1415 Ross Ave, El Centro, CA 92243-4306 | 2020-05-18 |
| 1164052221 | Stephen L Jaime | Registered Nurse | 1415 Ross Ave, El Centro, CA 92243 | 2020-01-17 |
| 1033759790 | Carolina Dela Peza | Health Educator | 1415 Ross Ave, El Centro, CA 92243 | 2020-01-10 |
| 1811537566 | Marsella Mayoral | Health Educator | 1415 Ross Ave, El Centro, CA 92243 | 2020-01-10 |
| 1225671902 | Kaitlyn Elise Offhaus | Dietitian, Registered | 1415 Ross Ave, El Centro, CA 92243-4306 | 2019-10-24 |
| 1437706397 | Hd Elshire IIi Md Phd Facs, Inc | Clinic/Center | 1415 Ross Ave, El Centro, CA 92243-4306 | 2019-08-24 |
| 1912470956 | Valley Anesthesia Specialists Inc | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2019-01-02 |
| 1376015578 | Steven E. Blum Do PC | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2018-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104250521 | Rhoda Ojwang | Nurse Practitioner | 1665 S Imperial Ave Ste D, El Centro, CA 92243-4247 | 2013-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAYRA CARBONI.
| 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.