Maria Bernadette Facun
Nurse Practitioner (Primary Care)

Address: 10666 N. Torrey Pines Road, N203, La Jolla, CA 92037
Phone: 8585548880

Maria Bernadette Facun (NPI# 1891288197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1891288197
Entity Type Individual
Full Name Maria Bernadette Facun
Credential NP
Gender Female
Practice Address 10666 N. Torrey Pines Road
N203
La Jolla
CA 92037
Practice Telephone 8585548880
Practice Fax Number 8585548065
Mailing Address 10666 N Torrey Pines Rd-203n
La Jolla
CA 92128-6432
Mailing Telephone 8585548880
Mailing Fax Number 8585548150
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-06-11
Last Update Date 2019-01-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP2300X Nurse Practitioner · Primary Care Physician Assistants & Advanced Practice Nursing Providers 95006878 CA

Physician Overview

NPI 1891288197
PAC ID by PECOS 3476898768
Professional Enrollment ID I20181213003239
Full Name Maria B Facun
Organization Legal Name SCRIPPS HEALTH
Phone Number 8585549100
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9234033853
Number of Group Practice Members 1079
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050424 SCRIPPS GREEN HOSPITAL

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 10666 N. TORREY PINES ROAD
N203
City LA JOLLA
State CA
Zip Code 92037

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982221768 Equip Health Medical, PC Clinic/Center 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 2020-06-29
1134745474 Brenda Kay Wiederhold Psychologist Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 2020-06-23
1316581598 Kathleen M Blechertas Physical Therapist 9888 Genesee, Lj19, La Jolla, CA 92037 2019-10-31
1316592876 Kevin Yanyan Li Student in an Organized Health Care Education/Training Program 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 2019-08-01
1407400542 Juan J Salmeron Dentist Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 2019-07-26
1609428598 Nicole Whitney Mark Physician Assistant 8103 Caminito Sonoma, La Jolla, CA 92037 2019-07-11
1700357936 Cecelia Rose Greene/pendzich Mastectomy Fitter 7760 Fay Ave, Suite M., La Jolla, CA 92037 2018-12-16
1740765890 Jeenal Ankit Gordhandas Student in an Organized Health Care Education/Training Program East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 2018-09-25
1306325220 Lisa Beth Perlov Marks Marriage & Family Therapist 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 2018-08-10
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
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Competitor

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City LA JOLLA
Zip Code 92037

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Dataset Information

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.