Active NPI
Maureen Santiesteban, RN
- Registered Nurse
- Riverside, CA
National Provider Identifier
1104278233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 823470
- Practice address
- 9990 County Farm Rd
BLGD. 6
Riverside, CA 92503-3542 - Phone
- (951) 509-2499
- NPI assigned
- Jul 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 823470 | CA | Primary |
Addresses
Primary practice location
9990 County Farm Rd
BLGD. 6
Riverside, CA 92503-3542
Mailing address
9825 Magnolia Ave
Suite B, PMB 322
Riverside, CA 92503-3562
Phone (951) 509-2499
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
| License | State | Type | Specialty |
|---|---|---|---|
| 823470 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1104278233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 MAGNOLIA AVE",
"address_2": "SUITE B, PMB 322",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033562",
"telephone_number": "951-509-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9990 COUNTY FARM RD",
"address_2": "BLGD. 6",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033542",
"telephone_number": "951-509-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIESTEBAN",
"first_name": "MAUREEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "823470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.