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

Marvin Buenaventura

Individual provider Primary Care Nurse Practitioner · NPI 1790481521

Marvin Buenaventura is a Primary Care Nurse Practitioner in Ridgecrest, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

129 E Ridgecrest Blvd
Ridgecrest, CA 93555-3918
Phone: (760) 463-1613
Fax: (760) 463-1614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95023469 (CA)

Record details

NPI number1790481521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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