Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902792245 Individual Practitioner Female Practitioner

Mary Michelle Nolasco

Nurse Practitioner • Camarillo, CA

Professional Overview & Biography Verified Profile Summary

Mary Nolasco is a registered healthcare professional specializing in Nurse Practitioner in Camarillo, CA. Practice services are available at 2275 LAS POSAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2275 Las Posas Rd

Camarillo, CA 930103344

Telephone 8053883732
Fax 8059872904
Associated Practice Facility / Clinic
🏢 Thomas R. Phelps, M.d., Inc. Facility NPI 1205024130

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Camarillo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Camarillo, CA (8378 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 2025035863

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ray Jason Fajardo , MS, PA-C

Physician Assistant

NPI 1255668570

Master of Science, Physician Assistant (Certified)

NPI 1578504148

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2025

Registered at 2275 LAS POSAS RD, CAMARILLO, CA 930103344 (Tel: 8053883732)

📍
Updated Business Mailing Address June 13, 2025

Registered at 27464 REDWOOD CT, SANTA CLARITA, CA 913505774 (Tel: 3236052890)

👤
Provider Name / Credentials Updated June 13, 2025

Recorded as MARY NOLASCO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2025

Nurse Practitioner (License #2025035863 in CA)

🟢
Initial NPI Registration & Enumeration June 13, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902792245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2025
Last Update: June 13, 2025
Sole Proprietor: No

Mailing Address

27464 Redwood Ct

Santa Clarita, CA 913505774

Phone: 3236052890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.