Individual provider Active NPI

Jenae Raineri, R.N.

  • Registered Nurse
  • Santa Ana, CA
National Provider Identifier
1154600179
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
574546 Issued in CA
Practice address
600 W Santa Ana Blvd
Suite 405
Santa Ana, CA 92701-4558
Phone
(714) 565-3780
Fax
(714) 565-3788
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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 574546 CA Primary

Addresses

Primary practice location

600 W Santa Ana Blvd
Suite 405
Santa Ana, CA 92701-4558

Mailing address

5255 E Spring St
Long Beach, CA 90808-3517
Phone (714) 884-2201

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
574546CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1154600179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083517",
            "telephone_number": "714-884-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD",
            "address_2": "SUITE 405",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014558",
            "telephone_number": "714-565-3780",
            "fax_number": "714-565-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINERI",
        "first_name": "JENAE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "574546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.