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

NPI Status: Active since May 12, 2025

Contact Information

790 W ORANGE AVE STE B
EL CENTRO, CA
ZIP 92243
Phone: (760) 353-3222

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  • Individual
  • Male
  • Nurse Practitioner

About CARLOS RIDAURA

This page provides the complete NPI Profile along with additional information for Carlos Ridaura, a provider established in El Centro, California with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1770374605 assigned on May 2025. The practitioner's primary taxonomy code is 363L00000X with license number 95034846 (CA). The provider is registered as an individual and his NPI record was last updated May 2025.

NPI
1770374605
Provider Name
CARLOS ANTONIO RIDAURA FNP
Gender
Male
Entity Type
Individual
Location Address
790 W ORANGE AVE STE B EL CENTRO, CA 92243
Location Phone
(760) 353-3222
Mailing Address
790 W ORANGE AVE STE B EL CENTRO, CA 92243
Mailing Phone
(760) 353-3222
Is Sole Proprietor?
No
Enumeration Date
05-12-2025
Last Update Date
05-12-2025
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A nurse practitioner (NP) like Carlos Ridaura is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95034846
License State
CA
Taxonomy Description
(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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770374605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714067860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 6 + 7 + 8 + 6 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1770374605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023391166 SOHAIB TARIQ M.D.
Individual
Internal Medicine (Cardiovascular Disease)790 W ORANGE AVE STE B
EL CENTRO, CA 92243
(760) 353-3222
1851174494 MAYRA KYTZYA CASILLAS NP
Individual
Nurse Practitioner (Family)790 W ORANGE AVE STE B
EL CENTRO, CA 92243
(760) 353-3222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770374605, enumerated in the NPI registry as an "individual" on May 12, 2025

The provider is located at 790 W Orange Ave Ste B El Centro, Ca 92243 and the phone number is (760) 353-3222

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on May 12, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.