Individual provider Active NPI

Janet Ma, (MSN, FNP)

  • Family Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1144868050
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013164 Issued in CA
Practice address
1422 Edinger Ave Ste 130
Tustin, CA 92780-6298
Phone
(714) 628-9342
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013164 CA Primary

Addresses

Primary practice location

1422 Edinger Ave Ste 130
Tustin, CA 92780-6298

Mailing address

705 W la Veta Ave Ste 109
Orange, CA 92868-4447
Phone (714) 628-9342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429000340 CA Practitioner - Nurse Practitioner 8022427236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Rheumatology Medical Center, Inc. CurrentSince Dec 30, 2020 Accepting new patients

Locations

25411 Cabot Rd
Ste 112
Laguna Hills, CA 92653
Phone (714) 628-9342

705 W La Veta Ave
Ste 109
Orange, CA 92868
Phone (714) 628-9342

1422 Edinger Ave
Ste 130
Tustin, CA 92780
Phone (714) 628-9342

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3282/brand/1/csg/1/fhir/r4
  • Direct secure messaging: janet.ma.1@3282.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1144868050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 109",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-628-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EDINGER AVE STE 130",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806298",
            "telephone_number": "714-628-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JANET",
        "credential": "(MSN, FNP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.