Individual provider Active NPI

Josephine Gonzales Teehankee

  • General Practice Registered Nurse
  • Mission Viejo, CA
National Provider Identifier
1154107936
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
450712 Issued in CA
Practice address
26871 La Sierra Dr
Mission Viejo, CA 92691-6049
Phone
(949) 305-9024
Fax
(949) 297-8830
NPI assigned
Sep 6, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 450712 CA Primary

Addresses

Primary practice location

26871 La Sierra Dr
Mission Viejo, CA 92691-6049

Mailing address

26871 La Sierra Dr
Mission Viejo, CA 92691-6049
Phone (949) 394-2287

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
450712CAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Senior Living Inc. CurrentSince Oct 1, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1154107936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26871 LA SIERRA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916049",
            "telephone_number": "949-394-2287",
            "fax_number": "949-297-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26871 LA SIERRA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916049",
            "telephone_number": "949-305-9024",
            "fax_number": "949-297-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEHANKEE",
        "first_name": "JOSEPHINE",
        "middle_name": "GONZALES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "450712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.