MARIA FIDELIS BACOLOD
NPI 1790109940
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Redondo Beach, CA

Active since February 07, 2014
1413 HAWTHORNE BLVD, REDONDO BEACH, CA 90278(310) 370-8784 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Fidelis Bacolod NPPES

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

MARIA FIDELIS BACOLOD (NPI 1790109940) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Redondo Beach, California, licensed in California (55737) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1790109940
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMARIA FIDELIS BACOLOD
Location Address1413 HAWTHORNE BLVDRedondo Beach, CA 90278-3923
Mailing Address1413 Hawthorne BlvdRedondo Beach, CA 90278-3923
Sole ProprietorYes
Enumeration DateFebruary 7, 2014
Last NPPES UpdateMay 29, 2026
NPPES CertifiedMay 29, 2026
NPI 1790109940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in CA · 55737
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 55737 (CA)
1413 HAWTHORNE BLVD, Redondo Beach, CA 90278

Other Providers at the Same Location NPPES 5

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

Pharmacist
1413 HAWTHORNE BLVD
REDONDO BEACH, CA 90278
Social Worker (Clinical)
1413 HAWTHORNE BLVD
REDONDO BEACH, CA 90278
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1413 HAWTHORNE BLVD
REDONDO BEACH, CA 90278
Pharmacist
1413 HAWTHORNE BLVD
REDONDO BEACH, CA 90278
Pharmacy (Community/Retail Pharmacy)
1413 HAWTHORNE BLVD
REDONDO BEACH, CA 90278

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 Maria Fidelis Bacolod's NPI number?

The NPI number for Maria Fidelis Bacolod is 1790109940. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Where is Maria Fidelis Bacolod located?

Maria Fidelis Bacolod practices at 1413 Hawthorne Blvd, Redondo Beach, CA 90278. The listed phone number is (310) 370-8784.

What is Maria Fidelis Bacolod's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Maria Fidelis Bacolod was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.