MARIETTA FORMOSO LIGHT (NP-C) – Obstetrics & Gynecology Nurse Practitioner, NPI 1750368650

Obstetrics & Gynecology Nurse Practitioner

MARIETTA FORMOSO LIGHT (NP-C) is a healthcare provider. based in Clovis, California. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 6030 (CA). The NPI Number for MARIETTA FORMOSO LIGHT (NP-C) is 1750368650

Main info

Female

24 Years Of Experience

Accepts Medicare Assignment

Name

MARIETTA FORMOSO LIGHT (NP-C)

NPI

1750368650

Phone

(559) 451-3676

Address

782 Medical Center Dr E # 212

Enumeration Date

30 December 2005

Last Update Date

8 October 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5594513676

Graduation Year

2002 (24 years ago)

PAC ID

2961494695

Group Practice PAC ID

0345406294

Professional Enrollment ID

I20040401000644

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience74

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MARIETTA FORMOSO LIGHT (NP-C)

782 Medical Center Dr E # 212
Clovis, CA 936116889
Phone: (559) 451-3676
Fax: (559) 451-3680
Type: Location
Medical Center Drive East, Clovis, Fresno County, California, 93619, United States
CLOVIS, CA 936116889
Phone: (559) 451-3676
Fax: (559) 451-3680
Type: Location
East Divisadero Street, Fresno, Fresno County, California, 93724, United States
FRESNO, CA 937211431
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0345406294View full group profile

Name	Specialty	State
EMMA SARGSYAN (MD)	-	MT
NICHOLAS LEVINE (MD)	-	ID
GRANT JIRO NAKAMURA (MD)	-	CA
MR. MARTIN T WENTHE (MD)	Family Practice	CA
KEVIN WINGERT (M.D.)	-	CA
KATHERINE T SMITH (CDE/NP)	-	CA
DR. SAMIA ABDUL GHAFFAR (MD)	Orthopedic Surgery	CA
ROBIN R. LINSCHEID JANZEN (MD)	-	CA
DR. BENJAMIN J. STEINBERG (DO)	O B S T E T R I C S/ G Y N E C O L O G Y	CA
CELESTE SOLIS CAYCO (PAC)	-	CA

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Frequently asked questions

Does MARIETTA FORMOSO LIGHT (NP-C) have a public NPI I can cite?

Public records show MARIETTA FORMOSO LIGHT (NP-C) under NPI 1750368650.

Is MARIETTA FORMOSO LIGHT (NP-C)'s NPI status active today?

Active status means MARIETTA FORMOSO LIGHT (NP-C)'s NPI record is not deactivated in the public file.

What services align with MARIETTA FORMOSO LIGHT (NP-C)'s listing?

MARIETTA FORMOSO LIGHT (NP-C)'s public classification highlights Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MARIETTA FORMOSO LIGHT (NP-C)?

MARIETTA FORMOSO LIGHT (NP-C) is associated with Clovis, California in the same public data insurers reference.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.