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NOMAGUGU MAFU NP
NPI 1770074791
Nurse Practitioner in San Bernardino, CA

Active since May 24, 2018PECOS Enrolled
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 881-7320(909) 881-7330 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, May 24, 2018 (2 updates tracked since 2018).

About Nomagugu Mafu Np NPPES

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

NOMAGUGU MAFU NP (NPI 1770074791) is an individual nurse practitioner in San Bernardino, California, licensed in California (95008825) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770074791
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNOMAGUGU MAFUCredential: NP
Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839
Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 881-7320 · Fax (909) 881-7330
Phone(909) 881-7320
Fax(909) 881-7330
Sole ProprietorNo
Enumeration DateMay 24, 2018
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
✔ NPI 1770074791 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 · 95008825
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.
742 W HIGHLAND AVE, San Bernardino, CA 92405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nomagugu Mafu Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. CECIL CAGUIOA LAQUI M.D.
Internal Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MR. BRUCE G MCCANN PA-C
Physician Assistant (Medical)
742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405
San Bernardino County (909) 881-7320
SACHIN KUMAR CHATTA M.D.
Family Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MARETHA TYCE NP
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MISS VICKI NICOLE GONZALEZ JR.
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MS. ELAINE MARIE GACKLE NP
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 213-0001
ANDREW REZK DO
Psychiatry & Neurology (Psychiatry)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
DR. DANIEL LEE BRUCH D.O.
Pediatrics
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320

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 Nomagugu Mafu's NPI number?

The NPI number for Nomagugu Mafu is 1770074791. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Nomagugu Mafu located?

Nomagugu Mafu practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.

What is Nomagugu Mafu's specialty?

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

Is Nomagugu Mafu enrolled in Medicare?

Yes. Nomagugu Mafu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nomagugu Mafu was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.