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

Ronaldo Chino Petallo Tanedo

Individual provider Registered Nurse · NPI 1881192417

Ronaldo Chino Petallo Tanedo is a Nurse Practitioner in San Diego, California. Qualified in 2023, 3 years ago. Practices with Healthy Me Nursing, Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3930 4th Ave Ste 300
San Diego, CA 92103-3119
Phone: (619) 320-8711
Fax: (619) 393-0818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 N Pepper Ave, Colton, CA 92324-1801 — (909) 580-3145

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95032892 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 739150 (CA)

Record details

NPI number1881192417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

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 Healthy Me Nursing, Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego