Individual provider Active NPI

Rio Marie A. Calvert, FNP-C

  • Nurse Practitioner
  • Brea, CA
National Provider Identifier
1083207252
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95018037 Issued in CA
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

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95018037CAMDNurse Practitioner
515462CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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": []
}

Other providers in Brea, CA

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.

Verify at the official NPI Registry.