=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255241576
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA CLARISSA NOCHE ESMENDE NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2026
-----------------------------------------------------
Last Update Date | 09/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2410 W CLEVELAND AVE
-----------------------------------------------------
City | MONTEBELLO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90640-3055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-319-5965
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2410 W CLEVELAND AVE
-----------------------------------------------------
City | MONTEBELLO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90640-3055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-319-5965
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WG0000X
-----------------------------------------------------
Taxonomy Name | General Practice Registered Nurse
-----------------------------------------------------
License Number | 95182999
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------