Individual provider Active NPI

Arlene Pantig Panlaqui, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1104411941
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
669632 Issued in CA
Practice address
7236 Cowles Mountain Blvd
San Diego, CA 92119-1326
Phone
(916) 996-9889
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 669632 CA Primary

Addresses

Primary practice location

7236 Cowles Mountain Blvd
San Diego, CA 92119-1326

Mailing address

7236 Cowles Mountain Blvd
San Diego, CA 92119-1326
Phone (916) 996-9889

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
669632CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1104411941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 COWLES MOUNTAIN BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191326",
            "telephone_number": "916-996-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 COWLES MOUNTAIN BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191326",
            "telephone_number": "916-996-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANLAQUI",
        "first_name": "ARLENE",
        "middle_name": "PANTIG",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "669632",
            "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 Mar 3, 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.