Individual provider Active NPI

Elizabeth Branson

  • Acute Care Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1023587516
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95010148 Issued in CA
Practice address
2010 E 1St St # 100
Santa Ana, CA 92705-4079
Phone
(909) 800-3532
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 95010148 CA Primary

Addresses

Primary practice location

2010 E 1St St # 100
Santa Ana, CA 92705-4079

Mailing address

4681 Sierra Vista Ave Apt 307
Riverside, CA 92505-8561
Phone (909) 800-3532

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
I20200102001156 CA Practitioner - Nurse Practitioner 0042644874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Hospitalist Group IncGroup PAC ID 7719266006, 14 clinicians
Scientia Caritas MedicineGroup PAC ID 6608271119, 2 clinicians

Practice addresses (Care Compare)

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (714) 966-7200

17150 Euclid St
Suite 200
Fountain Valley, CA 92708-4092
Phone (310) 502-2590

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010148CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Pain Management Inc. CurrentSince Dec 15, 2019 Accepting new patients
Scientia Caritas Medicine CurrentSince Apr 14, 2022 Accepting new patients

Locations

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

2010 E 1st St
Ste 100
Santa Ana, CA 92705
Phone (714) 556-7246

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1023587516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 SIERRA VISTA AVE APT 307",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058561",
            "telephone_number": "909-800-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST # 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054079",
            "telephone_number": "909-800-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95010148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.