Healthcare Provider Details

I. General information

NPI: 1972987519
Provider Name (Legal Business Name): MARIA RAQUEL GARCIA-BALL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LARKSPUR LANDING CIR STE 10
LARKSPUR CA
94939-1836
US

IV. Provider business mailing address

1100 LARKSPUR LANDING CIR STE 10
LARKSPUR CA
94939-1836
US

V. Phone/Fax

Practice location:
  • Phone: 415-924-1214
  • Fax: 415-924-1375
Mailing address:
  • Phone: 415-924-1214
  • Fax: 415-924-1375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95009888
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number686615-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340346
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: