Individual provider · Type 1 NPI
Matilde Carrasco Thomas, ANP
Adult Health Nurse Practitioner · La Mesa, CA
NPI number
1396665592
Active
Practice location
5715 Baltimore Dr Unit 99
La Mesa, CA 91942-4216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95040543 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1396665592
Matilde Carrasco Thomas, ANP's National Provider Identifier is 1396665592, issued on Jul 17, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in La Mesa, CA. The record was last updated on Jul 18, 2026.