MITLA PROFESSIONAL NURSING CARE, INC
NPI 1811750425
Clinic/Center in Baldwin Park, CA

Q: What is Mitla Professional Nursing Care, Inc's NPI number?

The NPI number for Mitla Professional Nursing Care, Inc is 1811750425. It was assigned to this organization in the NPPES registry on February 5, 2024.

Q: What is Mitla Professional Nursing Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 05, 2024CLIA 05D2312129 · Waiver

4111 MAINE AVE, BALDWIN PARK, CA 91706(626) 939-0676(626) 517-5482 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 5, 2024, Feb 5, 2024 (2 updates tracked since 2024).

On this page

About Mitla Professional Nursing Care, Inc NPPES

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

MITLA PROFESSIONAL NURSING CARE, INC (NPI 1811750425) is a healthcare organization registered as a clinic/center in Baldwin Park, California and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Antonio Martinez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811750425

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMITLA PROFESSIONAL NURSING CARE, INC

Location Address4111 MAINE AVEBaldwin Park, CA 91706-3307

Mailing Address4111 Maine AveBaldwin Park, CA 91706-3307

Phone(626) 939-0676

Fax(626) 517-5482

Organization SubpartNo

Authorized OfficialAntonio MartinezCeo · (323) 369-0955

Enumeration DateFebruary 5, 2024

Last NPPES UpdateMay 22, 20242 updates tracked since enumeration

NPPES CertifiedMay 22, 2024

✔ NPI 1811750425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4111 MAINE AVE, Baldwin Park, CA 91706

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2312129

Mitla Professional Nursing Care Inc · Baldwin Park, CA

Active · expires Oct 3, 2026

CLIA Number05D2312129

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorEarla E. Quisido

Laboratory Phone(626) 939-0676

Laboratory LocationMitla Professional Nursing Care Inc4111 Maine Ave, Baldwin Park, CA 91706

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DIGESTIVE AND LIVER DISEASE SPECIALISTS A MEDICAL GROUP INC

Internal Medicine (Gastroenterology)

4111 MAINE AVE
BALDWIN PARK, CA 91706

Los Angeles County (626) 960-3016

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 Mitla Professional Nursing Care, Inc's NPI number?

The NPI number for Mitla Professional Nursing Care, Inc is 1811750425. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Mitla Professional Nursing Care, Inc located?

Mitla Professional Nursing Care, Inc is located at 4111 Maine Ave, Baldwin Park, CA 91706. The listed phone number is (626) 939-0676.

What is Mitla Professional Nursing Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Mitla Professional Nursing Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2312129) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mitla Professional Nursing Care, Inc was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.