Healthcare Provider Details

I. General information

NPI: 1710630736
Provider Name (Legal Business Name): NADIA CRISTINA ARIAS PENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CIRCLE DR
SALINAS CA
93905-2150
US

IV. Provider business mailing address

440 AIRPORT BLVD
SALINAS CA
93905-3302
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-8689
  • Fax:
Mailing address:
  • Phone: 831-757-8689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP6
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: