Active NPI
Eileen Caridad Abejar, PNP
- Pediatric Nurse Practitioner
- Orange, CA
National Provider Identifier
1083865042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 17310
- Practice address
- 455 S Main St
Pulmonary/RSV Clinic
Orange, CA 92868-3835 - Phone
- (714) 532-8709
- Fax
- (714) 289-4072
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 17310 | CA | Primary |
| Registered Nurse | 163W00000X | 362991 | CA |
Addresses
Primary practice location
455 S Main St
Pulmonary/RSV Clinic
Orange, CA 92868-3835
Mailing address
455 South Main Street, Pulmonary / RSV Clinic
Children's Hospital of Orange County
Orange, CA 92868
Phone (714) 532-8709
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 |
|---|---|---|---|
| 362991 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1083865042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SOUTH MAIN STREET, PULMONARY / RSV CLINIC",
"address_2": "CHILDREN'S HOSPITAL OF ORANGE COUNTY",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-532-8709",
"fax_number": "714-289-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"address_2": "PULMONARY/RSV CLINIC",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-532-8709",
"fax_number": "714-289-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEJAR",
"first_name": "EILEEN",
"middle_name": "CARIDAD",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "17310",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "362991",
"primary": false
}
],
"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 Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.