Active NPI
Bridget Joanne Islas
- Peer Specialist
- Santa Fe Springs, CA
National Provider Identifier
1053898486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-DYFHTX
- Practice address
- 11721 Telegraph Road #a
Santa Fe Springs, CA 90670 - Phone
- (626) 684-2322
- NPI assigned
- Jul 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-DYFHTX | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Road #a
Santa Fe Springs, CA 90670
Mailing address
11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835
Phone (562) 949-8455
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 |
|---|---|---|---|
| MPSS-DYFHTX | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1053898486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD STE A",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706835",
"telephone_number": "562-949-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH ROAD #A",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "90670",
"telephone_number": "626-684-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAS",
"first_name": "BRIDGET",
"middle_name": "JOANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-DYFHTX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.