Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andres Maldonado

Individual provider Licensed Vocational Nurse · NPI 1699189522

Andres Maldonado is a Nurse Practitioner in El Centro, California. Qualified in 2022, 4 years ago. Practices with Tyson Medical Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2026 N Imperial Ave Ste C
El Centro, CA 92243-1607
Phone: (760) 592-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95021143 (CA)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 207502 (CA)

Record details

NPI number1699189522
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tyson Medical Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Centro