Active NPI
Ann Margaret Sevilla Vergel de Dios, DNP
- Acute Care Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95016694
- Practice address
- 4255 Campus Dr Ste A100
#5532
Irvine, CA 92612-8650 - Phone
- (714) 869-7487
- NPI assigned
- Feb 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95016694 | CA | Primary |
| Emergency Registered Nurse | 163WE0003X | 95049509 | CA |
Addresses
Primary practice location
4255 Campus Dr Ste A100
#5532
Irvine, CA 92612-8650
Mailing address
2214 Melogold Way
Corona, CA 92883-3191
Phone (714) 390-1336
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 W la Veta Ave
Orange, CA 92868-4300
Phone (714) 869-7487
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95049509 | CA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orca Rehab Inc | Current | Accepting new patients | |
| Michael Decker, DO, Inc | Current | Accepting new patients | |
| Amirpasha Ehsan MD, Inc | Past | Accepting new patients |
Locations
101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505
565 Pier Ave
Unit 1352
Hermosa Beach, CA 90254
Phone (816) 896-1355
2725 E Broadway
Long Beach, CA 90803
Phone (562) 434-4494
1010 W La Veta Ave
Orange, CA 92868
Phone (714) 221-1200
4070 Jurupa Ave
Riverside, CA 92506
Phone (949) 239-4410
13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200
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.
-
- Physical Medicine & Rehabilitation Physician
- Tustin, CA
- NPI 1952046963
-
- Skilled Nursing Facility
- Hermosa Beach, CA
- NPI 1528410842
-
- Physical Medicine & Rehabilitation Physician
- Irvine, CA
- NPI 1164813788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1073106670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 MELOGOLD WAY",
"city": "CORONA",
"state": "CA",
"postal_code": "928833191",
"telephone_number": "714-390-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 CAMPUS DR STE A100",
"address_2": "#5532",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128650",
"telephone_number": "714-869-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGEL DE DIOS",
"first_name": "ANN MARGARET",
"middle_name": "SEVILLA",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95016694",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "95049509",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.