Individual provider Active NPI

Yulia Repkina

  • Acute Care Nurse Practitioner
  • Laguna Niguel, CA
National Provider Identifier
1013742980
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP95030736 Issued in CA
Practice address
24235 Avenida de Las Flores
Laguna Niguel, CA 92677-3521
Phone
(949) 338-8970
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP95030736 CA Primary

Addresses

Primary practice location

24235 Avenida de Las Flores
Laguna Niguel, CA 92677-3521

Mailing address

24235 Avenida de Las Flores
Laguna Niguel, CA 92677-3521
Phone (949) 338-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP95030736CAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1013742980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24235 AVENIDA DE LAS FLORES",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773521",
            "telephone_number": "949-338-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24235 AVENIDA DE LAS FLORES",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773521",
            "telephone_number": "949-338-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKINA",
        "first_name": "YULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95030736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.