Cielito Blanco Capistrano, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22822 Issued in CA

Practice address

4310 Orange St
Riverside, CA 92501-3829

Phone

(951) 781-6335

Fax

(951) 781-6365

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cielito Blanco-Capistrano Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cielito.capistrano.p2@direct.famdoc.nextgenshare.com
• Direct secure messaging: cielito.capistrano.p1@direct.famdoc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverside Family Physicians, a Professional Medical Corporation

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1790713394
  Medicare reassignment NPD
• Palliative Partners, Inc

  • General Practice Physician
  • Riverside, CA
  • NPI 1134304447
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1013353549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7341 FALL WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928801043",
            "telephone_number": "951-601-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013829",
            "telephone_number": "951-781-6335",
            "fax_number": "951-781-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPISTRANO",
        "first_name": "CIELITO",
        "middle_name": "BLANCO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIELITO",
            "last_name": "BLANCO-CAPISTRANO",
            "credential": "MSN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ivy Cao, M.D.
• Michael B Cao, PSY.D.
• Susan Cao
• Justine Caole
• Maria Capetillo
• Ashley Capone
• Kennia Carballo Coreas
• Imelda Carballo
• Jessica Carbonaro
• Mario P Carcamo, MD

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.