Individual provider Active NPI

Carmina Deleon Inductivo, MSN RN AGACNPBC FNPC

  • Nurse Practitioner
  • Orange, CA
National Provider Identifier
1063076735
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009114 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 880-7812
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009114 CA
Nurse Practitioner 363L00000X 95009114 CA Primary
Acute Care Nurse Practitioner 363LA2100X NP95009114 CA

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

24451 Health Center Dr
Laguna Hills, CA 92653-3689
Phone (949) 837-4500

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
I20200131000806 CA Practitioner - Nurse Practitioner 5294161790 Reassigns benefits to 4 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
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95009114CAMDNurse Practitioner
NP95009114CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Mar 8, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Feb 1, 2020 Accepting new patients
UC Regents Current Accepting new patients
UC Regents CurrentSince Mar 8, 2021 Accepting new patients
Prudent Healthcare Services Nursing Nurse Practitioner CurrentSince Apr 6, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Feb 1, 2020 Accepting new patients
Concierge Healthcare Services Nurse Practitioner CurrentSince Sep 12, 2025 Accepting new patients
UC Regents Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

421 N Brookhurst St
Ste 224
Anaheim, CA 92801
Phone (562) 306-9739

421 N Brookhurst St
Ste 228C
Anaheim, CA 92801
Phone (714) 765-2978

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Ste 3800
Los Angeles, CA 90033
Phone (323) 442-5720

1450 San Pablo St
Ste 5400
Los Angeles, CA 90033
Phone (323) 442-4300

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Organizations & group practices 9

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": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1063076735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-880-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24451 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533689",
            "country_code": "US",
            "telephone_number": "949-837-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDUCTIVO",
        "first_name": "CARMINA",
        "middle_name": "DELEON",
        "credential": "MSN RN AGACNPBC FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009114",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009114",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95009114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.