Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MATILDE CARRASCO THOMAS ANP
NPI 1396665592
Nurse Practitioner - Adult Health in La Mesa, CA

Active since July 17, 2026
5715 BALTIMORE DR UNIT 99, LA MESA, CA 91942(619) 602-0880 Get Directions Write a Review

NPPES record added: July 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matilde Carrasco Thomas Anp NPPES

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

MATILDE CARRASCO THOMAS ANP (NPI 1396665592) is an individual adult health provider in La Mesa, California, licensed in California (95040543) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1396665592
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMATILDE CARRASCO THOMASCredential: ANP
Location Address5715 BALTIMORE DR UNIT 99La Mesa, CA 91942-4216
Mailing Address5715 Baltimore Dr Unit 99La Mesa, CA 91942-4216
Sole ProprietorYes
Enumeration DateJuly 17, 2026
Last NPPES UpdateJuly 18, 2026
NPPES CertifiedJuly 18, 2026
NPI 1396665592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 95040543
5715 BALTIMORE DR UNIT 99, La Mesa, CA 91942

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matilde Carrasco Thomas's NPI number?

The NPI number for Matilde Carrasco Thomas is 1396665592. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Matilde Carrasco Thomas located?

Matilde Carrasco Thomas practices at 5715 Baltimore Dr Unit 99, La Mesa, CA 91942. The listed phone number is (619) 602-0880.

What is Matilde Carrasco Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Matilde Carrasco Thomas was last updated on July 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.