Provider Demographics
NPI:1073308656
Name:DEPAZ, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DEPAZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 MARIPOSA ST
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-3316
Mailing Address - Country:US
Mailing Address - Phone:831-224-4153
Mailing Address - Fax:
Practice Address - Street 1:232 MONTEREY ST STE 240
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3409
Practice Address - Country:US
Practice Address - Phone:831-647-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty