MEDICARE: ELISA MARIE PALABYAB ORONICO

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	363LF0000X	Family Nurse Practitioner	F11220705	CA

General Provider Information

NPI Number	:	1598530917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISA MARIE PALABYAB ORONICO

Provider Business Mailing Address
First Line	:	18035 CROSSHAVEN DR
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2546
Country	:	US
Telephone Number	:	626-347-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	11940 FOOTHILL BLVD STE 208
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-9376
Country	:	US
Telephone Number	:	909-944-8378
Fax Number	:

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

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	04/07/2026

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