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

Matilde Carrasco Thomas, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1396665592

Matilde Carrasco Thomas, ANP is an Adult Health Nurse Practitioner in LA Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

5715 Baltimore Dr Unit 99
LA Mesa, CA 91942-4216
Phone: (619) 602-0880
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95040543 (CA)

Record details

NPI number1396665592
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 18, 2026
Certification dateJuly 18, 2026

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