Individual provider Active NPI

Doris Tamayo Aceron, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1093073314
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 388963 Issued in CA
Practice address
2751 Murray Ridge Rd
San Diego, CA 92123-2854
Phone
(858) 541-0571
Fax
(858) 541-0571
NPI assigned
Apr 24, 2012
Last updated
Oct 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 388963 CA Primary

Addresses

Primary practice location

2751 Murray Ridge Rd
San Diego, CA 92123-2854

Mailing address

2751 Murray Ridge Rd
San Diego, CA 92123-2854
Phone (858) 541-0571

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

LicenseStateTypeSpecialty
RN 388963CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1093073314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 MURRAY RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232854",
            "telephone_number": "858-541-0571",
            "fax_number": "858-541-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 MURRAY RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232854",
            "telephone_number": "858-541-0571",
            "fax_number": "858-541-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACERON",
        "first_name": "DORIS",
        "middle_name": "TAMAYO",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 388963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.