Provider Demographics
NPI:1336788173
Name:MACATANGAY, HELEN MARANAN (RN)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:MARANAN
Last Name:MACATANGAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4049 FIRST ST STE 229
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-5363
Mailing Address - Country:US
Mailing Address - Phone:925-215-1890
Mailing Address - Fax:925-271-5112
Practice Address - Street 1:4049 FIRST ST STE 229
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-5363
Practice Address - Country:US
Practice Address - Phone:510-378-5167
Practice Address - Fax:925-271-5112
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA593409163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1144675869Medicaid