Carrasco Thomas, Matilde

Carrasco Thomas, Matilde is an sole proprietor health care provider with primary practice located at 5715 Baltimore Dr Unit 99 , La Mesa CA 91942-4216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Carrasco Thomas, Matilde can be contacted via phone (619) 602-0880.

Contact Information

Primary practice address
5715 Baltimore Dr Unit 99 La Mesa CA 91942-4216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95040543 California

Profile Details

NPI number 1396665592
LBN Legal business name Carrasco Thomas, Matilde
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2026
Last updated Jul 18th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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