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CARLOS ANTONIO RIDAURA FNP
NPI 1770374605
Nurse Practitioner in El Centro, CA

Active since May 12, 2025
790 W ORANGE AVE STE B, EL CENTRO, CA 92243(760) 353-3222 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carlos Antonio Ridaura Fnp NPPES

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

CARLOS ANTONIO RIDAURA FNP (NPI 1770374605) is an individual nurse practitioner in El Centro, California, licensed in California (95034846) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1770374605
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCARLOS ANTONIO RIDAURACredential: FNP
Location Address790 W ORANGE AVE STE BEl Centro, CA 92243-3274
Mailing Address790 W Orange Ave Ste BEl Centro, CA 92243-3274 · (760) 353-3222
Phone(760) 353-3222
Sole ProprietorNo
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1770374605 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 · 95034846
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.
790 W ORANGE AVE STE B, El Centro, CA 92243
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Other Providers at the Same Location NPPES

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

MAYRA KYTZYA CASILLAS NP
Nurse Practitioner (Family)
790 W ORANGE AVE STE B
EL CENTRO, CA 92243
Imperial County (760) 353-3222

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 Carlos Ridaura's NPI number?

The NPI number for Carlos Ridaura is 1770374605. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Carlos Ridaura located?

Carlos Ridaura practices at 790 W Orange Ave Ste B, El Centro, CA 92243. The listed phone number is (760) 353-3222.

What is Carlos Ridaura's specialty?

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

When was this NPI record last updated?

The NPPES record for Carlos Ridaura was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.