Active NPI
Carolyn Du
- School Registered Nurse
- San Juan Capistrano, CA
National Provider Identifier
1093169542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 513915
- Practice address
- 31201 Paseo Miraloma
San Juan Capistrano, CA 92675 - Phone
- (949) 606-4554
- NPI assigned
- Apr 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 513915 | CA | Primary |
Addresses
Primary practice location
31201 Paseo Miraloma
San Juan Capistrano, CA 92675
Mailing address
1301 Avenida Cesar Chavez
Monterey Park, CA 90017
Phone (949) 606-4554
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 |
|---|---|---|---|
| 513915 | CA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1093169542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 AVENIDA CESAR CHAVEZ",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "90017",
"telephone_number": "949-606-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31201 PASEO MIRALOMA",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "92675",
"telephone_number": "949-606-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "CAROLYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "513915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
- Dr. Mahsa Safavi M.D. Medical Corporation
- Dr. Mark Sayed D.M.D. Inc
- Dr. Shalini Shah Dental Corp. (Del Obispo Dental Smiles)
- Kaitlyn Driscoll, DPT
- Joseph Raymond Droke, L.AC
- Sanjay Dube, MD
- Tessa Durbano, LCSW
- Dva Renal Healthcare Inc (San Juan Capistrano South Dialysis)
- Joyce Norma Earl, PHD
- Hessam S. Eftekhari, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.