Individual provider Active NPI

Abigail Marie Marapao, NP

  • Gerontology Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1013636851
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95022353 Issued in CA
Practice address
1601 W Orangethorpe Ave Apt 29
Fullerton, CA 92833-4544
Phone
(714) 399-5491
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95022353 CA Primary

Addresses

Primary practice location

1601 W Orangethorpe Ave Apt 29
Fullerton, CA 92833-4544

Mailing address

1601 W Orangethorpe Ave Apt 29
Fullerton, CA 92833-4544
Phone (714) 399-5491

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221208002073 CA Practitioner - Nurse Practitioner 8426427741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022353CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Nov 16, 2022 Accepting new patients
California PHS PC CurrentSince Feb 22, 2023 Accepting new patients
George K Shahinian M D Incorporated CurrentSince Jun 1, 2024 Accepting new patients

Locations

11 Mareblu
Ste 200
Aliso Viejo, CA 92656
Phone (949) 446-8990

1420 E Palomar St
Chula Vista, CA 91913

7638 N Ingram Ave
#111A
Fresno, CA 93711

31852 Coast Hwy
Ste 201
Laguna Beach, CA 92651
Phone (949) 715-0505

3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abigail.marapao.2@29786.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amarapao853452@direct.memorialcare.org
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1013636851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W ORANGETHORPE AVE APT 29",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334544",
            "telephone_number": "714-399-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W ORANGETHORPE AVE APT 29",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334544",
            "telephone_number": "714-399-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAPAO",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95022353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.