Active NPI
Rio Marie A. Calvert, FNP-C
- Nurse Practitioner
- Brea, CA
National Provider Identifier
1083207252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018037
- Practice address
- 910 E Birch St Ste 350
Brea, CA 92821-5848 - Phone
- (949) 933-4943
- NPI assigned
- Feb 18, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 515462 | CA | |
| Nurse Practitioner | 363L00000X | 95018037 | CA | Primary |
Addresses
Primary practice location
910 E Birch St Ste 350
Brea, CA 92821-5848
Mailing address
24721 Kings Pointe
Laguna Niguel, CA 92677-7455
Phone (949) 933-4943
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 |
|---|---|---|---|
| 95018037 | CA | MD | Nurse Practitioner |
| 515462 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Perfect Brea | Nurse Practitioner | Current | Accepting new patients |
Locations
910 E Birch St
Ste 350
Brea, CA 92821
Phone (714) 880-7883
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Brea, CA
- NPI 1356005011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638576000000",
"number": "1083207252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24721 KINGS POINTE",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777455",
"telephone_number": "949-933-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E BIRCH ST STE 350",
"city": "BREA",
"state": "CA",
"postal_code": "928215848",
"telephone_number": "949-933-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "RIO MARIE",
"middle_name": "A.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-12-04",
"certification_date": "2021-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "515462",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.