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
Mailing address2026 N Imperial Ave Ste C, El Centro, CA 92243-1607

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