Active NPI
Yvonne M Medeiros, REGISTERED NURSE
- Ambulatory Care Registered Nurse
- Tustin, CA
National Provider Identifier
1033054218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 768190
- Practice address
- 15504 Williams St Apt K
Tustin, CA 92780-4166 - Phone
- (808) 647-6689
- NPI assigned
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 768190 | CA | Primary |
Addresses
Primary practice location
15504 Williams St Apt K
Tustin, CA 92780-4166
Mailing address
15504 Williams St Apt K
Tustin, CA 92780-4166
Phone (808) 647-6689
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
| License | State | Type | Specialty |
|---|---|---|---|
| 768190 | CA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1033054218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15504 WILLIAMS ST APT K",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927804166",
"telephone_number": "808-647-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15504 WILLIAMS ST APT K",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927804166",
"telephone_number": "808-647-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "YVONNE",
"middle_name": "M",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "768190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.