MARY ANN COSTA FNP
NPI 1235161894
Nurse Practitioner in San Pedro, CA

Q: What is Mary Ann Costa's NPI number?

The NPI number for Mary Ann Costa is 1235161894. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Mary Ann Costa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ann Costa was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2006

1300 W 7TH ST, SAN PEDRO, CA 90732(310) 514-5350(310) 514-5421 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Ann Costa Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN COSTA FNP (NPI 1235161894) is an individual nurse practitioner in San Pedro, California, licensed in California (NP9202) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1235161894

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY ANN COSTACredential: FNP

Location Address1300 W 7TH STSan Pedro, CA 90732-3505

Mailing AddressPo Box 661360Arcadia, CA 91066-1360 · (626) 447-0296 · Fax (626) 447-6057

Phone(310) 514-5350

Fax(310) 514-5421

Sole ProprietorYes

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 25, 2008

✔ NPI 1235161894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP9202

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1300 W 7TH ST, San Pedro, CA 90732

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Other Identifiers 4

MedicaidRN434772CA

Medicare UPINP08378CA

Medicare PINWNP9202ACA

Medicare PINWNP9202BCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BLAIR PHILLIP PEOPLES M.D.

Anesthesiology