Edna Quiambao Nacion-Anderson, RN

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

BL036099 Issued in CA

Practice address

2553 Anacapa Dr. #107
Costa Mesa, CA 92626-6834

Phone

(714) 612-6303

Fax

(714) 979-3624

NPI assigned

May 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1073806741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 ANACAPA DR. #107",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266834",
            "telephone_number": "714-612-6303",
            "fax_number": "714-979-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 ANACAPA DR. #107",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266834",
            "telephone_number": "714-612-6303",
            "fax_number": "714-979-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACION-ANDERSON",
        "first_name": "EDNA",
        "middle_name": "QUIAMBAO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "BL036099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.