Individual provider Active NPI

Nerissa Paguirigan Cristobal

  • Home Health Aide
  • Orange, CA
National Provider Identifier
1134405129
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
00130365 Issued in CA
Practice address
2624 E Coolidge Ave
Orange, CA 92867-5210
Phone
(714) 639-2268
NPI assigned
Oct 23, 2011
Last updated
Oct 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 00130365 CA Primary
Nursing Home Administrator 376G00000X 5537036735 CA
Nurse's Aide 376K00000X 00400091 CA

Addresses

Primary practice location

2624 E Coolidge Ave
Orange, CA 92867-5210

Mailing address

2624 E Coolidge Ave
Orange, CA 92867-5210
Phone (714) 639-2268

Other names 1

  • Nerissa Arce Paguirigan Former name

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

LicenseStateTypeSpecialty
00130365CAMDHome Health Aide
5537036735CAMDNursing Home Administrator
00400091CAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1134405129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 E COOLIDGE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675210",
            "telephone_number": "714-639-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 E COOLIDGE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675210",
            "telephone_number": "714-639-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOBAL",
        "first_name": "NERISSA",
        "middle_name": "PAGUIRIGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "00130365",
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "5537036735",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00400091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NERISSA",
            "last_name": "PAGUIRIGAN",
            "middle_name": "ARCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 23, 2011; 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.