MEDICARE: GLORIA C. NINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP9112	CA
2	367500000X	Certified Registered Nurse Anesthetist	NP9112	CA

General Provider Information

NPI Number	:	1811928856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA C. NINO

Provider Business Mailing Address
First Line	:	823 GATEWAY CENTER WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-4541
Country	:	US
Telephone Number	:	619-515-2323
Fax Number	:	619-906-4564

Provider Business Practice Location Address
First Line	:	2319 ISLAND AVENUE
Second Line	:	SHERMAN HEIGHTS FAMILY HEALTH CENTER
City	:	SAN DIEGO
State	:	CA
Zip	:	92102
Country	:	US
Telephone Number	:	619-515-2435
Fax Number	:	619-233-2621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	10/26/2010

Similar Medicare Providers

1164353744 — ROLANDO ESPINOZA ORTIZ
Practice Location Address:

2410 E ST
SAN DIEGO, CA
92102-2024

Practice Phone: 619-234-3346
Practice Fax:

1154104545 — DAYLIN DELL ANDERSON LCSW
Practice Location Address:

4725 MARKET ST
SAN DIEGO, CA
92102-4715

Practice Phone: 619-515-2560
Practice Fax:

1790267433 — CYNTHIA IMELDA RODRIGUEZ HERNANDEZ
Practice Location Address:

415 31ST ST
SAN DIEGO, CA
92102-4236

Practice Phone: 619-525-7320
Practice Fax:

1518899152 — BRIAN FELIX RADT-T1
Practice Location Address:

1530 DALE ST
SAN DIEGO, CA
92102-1519

Practice Phone: 619-915-5710
Practice Fax:

1376472233 — JENNIFER DARLYNN WILLSEY
Practice Location Address:

2410 E ST
SAN DIEGO, CA
92102-2024

Practice Phone: 619-234-3346
Practice Fax:

1558242354 — ELAYZA RODRIGUEZ
Practice Location Address:

2404 F ST
SAN DIEGO, CA
92102-2025

Practice Phone: 619-493-0077
Practice Fax:

1841120235 — HANNAH TURNER MARIE TURNER
Practice Location Address:

2404 F ST
SAN DIEGO, CA
92102-2025

Practice Phone: 619-493-0077
Practice Fax:

Directions to “ GLORIA C. NINO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.