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

Mrs. Mara Jasmin Banuelos, FNP

Individual provider Family Nurse Practitioner · NPI 1619721578

Mrs. Mara Jasmin Banuelos, FNP is a Nurse Practitioner in Chino, California. Qualified in 2023, 3 years ago. Practices with Swapna V Phadnis MD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12296 Roswell Ave
Chino, CA 91710-2046
Phone: (626) 348-7920
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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 95029296 (CA)

Record details

NPI number1619721578
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Swapna V Phadnis Md Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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