MICHAEL MARIANO NABONG MD
NPI 1659854420
Student in an Organized Health Care Education/Training Program in Surprise, AZ

Q: What is Michael Mariano Nabong's NPI number?

The NPI number for Michael Mariano Nabong is 1659854420. It was assigned to this individual provider in the NPPES registry on September 7, 2018. The provider is also known as Michael Nabong.

Q: What is Michael Mariano Nabong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since September 07, 2018PECOS Enrolled

13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2026, Sep 7, 2018 (2 updates tracked since 2018).

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About Michael Mariano Nabong Md NPPES

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

MICHAEL MARIANO NABONG MD (NPI 1659854420) is an individual student in an organized health care education/training program in Surprise, Arizona and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659854420

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL MARIANO NABONGCredential: MD

Location Address13995 W STATLER BLVD STE 200Surprise, AZ 85374-5503

Mailing Address13995 W Statler Blvd Ste 200Surprise, AZ 85374-5503 · (602) 478-3100

Phone(602) 478-3100

Sole ProprietorNo

Enumeration DateSeptember 7, 2018

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1659854420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 017-LWW (AZ)

13995 W STATLER BLVD STE 200, Surprise, AZ 85374

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Other Names 1

Other Name (5)Michael Nabong

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Mariano Nabong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

GISELLE MARY ARIAS ORTIZ MD

Student in an Organized Health Care Education/Training Program