Active NPI
Roberto Angelo Tupasi, RN
- Registered Nurse
- Orange, CA
National Provider Identifier
1083014146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95022999
- Practice address
- 501 City Drive South
Orange, CA 92868 - Phone
- (714) 935-6081
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95022999 | CA | Primary |
Addresses
Primary practice location
501 City Drive South
Orange, CA 92868
Mailing address
695 Oakhaven Ave
Brea, CA 92823-6332
Phone (714) 686-8664
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022999 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1083014146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 OAKHAVEN AVE",
"city": "BREA",
"state": "CA",
"postal_code": "928236332",
"telephone_number": "714-686-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 CITY DRIVE SOUTH",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-935-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPASI",
"first_name": "ROBERTO ANGELO",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95022999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.