Provider Demographics
NPI:1467331090
Name:RABARA, GEORGIA BRINGAS (FNP)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:BRINGAS
Last Name:RABARA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 HILLSDALE MALL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-3407
Mailing Address - Country:US
Mailing Address - Phone:650-292-0847
Mailing Address - Fax:
Practice Address - Street 1:46 HILLSDALE MALL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-3407
Practice Address - Country:US
Practice Address - Phone:650-292-0847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033836363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily