Mia Kathleen Mauricio Tabago, FNP - Nurse Practitioner in Alpine, CA

Mia Kathleen Mauricio Tabago, FNP is a Nurse Practitioner - Family based in Alpine, California. Mia Kathleen Mauricio Tabago is licensed to practice in California (license number 95040457) and her current practice location is 1832 Alpine Blvd Ste B, Alpine, California. She can be reached at her office (for appointments etc.) via phone at (619) 326-4445.

NPI number for Mia Kathleen Mauricio Tabago is 1396326856 and her current mailing address is 1832 Alpine Blvd Ste B, Alpine, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396326856.

Contact Information

Mia Kathleen Mauricio Tabago, FNP
1832 Alpine Blvd Ste B,
Alpine, CA 91901-2107
(619) 326-4445
Not Available

Map and Direction




Provider's Profile

Full NameMia Kathleen Mauricio Tabago
GenderFemale
SpecialityNurse Practitioner - Family
Location1832 Alpine Blvd Ste B, Alpine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396326856
  • Provider Enumeration Date: 04/16/2021
  • Last Update Date: 07/11/2026

Medical Identifiers

Medical identifiers for Mia Kathleen Mauricio Tabago such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396326856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95040457 (California)Primary
163WG0600XRegistered Nurse - Gerontology 95226737 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mia Kathleen Mauricio Tabago is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mia Kathleen Mauricio Tabago, FNP
1832 Alpine Blvd Ste B,
Alpine, CA 91901-2107

Ph: (619) 326-4445
Mia Kathleen Mauricio Tabago, FNP
1832 Alpine Blvd Ste B,
Alpine, CA 91901-2107

Ph: (619) 326-4445

Reviews and Comments


Nurse Practitioner Nurses in Alpine, CA

Ms. Barbara Lee Lacuesta, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1730 Alpine Blvd, Alpine, CA 91901
Phone: 619-326-4445    
Brandon Rey Martinez, MSN, PMHNP-BC, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2120 Alpine Blvd, Alpine, CA 91901
Phone: 702-526-7610    
Ms. Dianne Javier Malabanan, MSN, FNP-BC, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901
Phone: 619-326-4445    Fax: 619-722-1721
Hillary Margolis,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901
Phone: 888-688-0248    
Polina Pavlova, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901
Phone: 619-326-4445    Fax: 619-722-1721
Cari Nickson, A-GNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2142 Alpine Glen Pl, Alpine, CA 91901
Phone: 619-228-5817    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.