Individual provider Active NPI

Razel Bacuetes Milo, PHD, DNP, FNP-C

  • Family Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1154612059
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20512 Issued in CA
Practice address
739 E Pennsylvania Ave Ste C
Escondido, CA 92025-3004
Phone
(760) 855-6416
Fax
(619) 566-3622
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 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 20512 CA Primary

Addresses

Primary practice location

739 E Pennsylvania Ave Ste C
Escondido, CA 92025-3004

Mailing address

739 E Pennsylvania Ave Ste C
Escondido, CA 92025-3004
Phone (760) 855-6416

Other practice location 1

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

Other practice location 2

1430 E Plaza Blvd
Ste E18
National City, CA 91950-3690
Phone (760) 855-6416

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)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1154612059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 E PENNSYLVANIA AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253004",
            "telephone_number": "760-855-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 E PENNSYLVANIA AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253004",
            "telephone_number": "760-855-6416",
            "fax_number": "619-566-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 E PLAZA BLVD",
            "address_2": "STE E18",
            "address_purpose": "LOCATION",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503690",
            "country_code": "US",
            "telephone_number": "760-855-6416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILO",
        "first_name": "RAZEL",
        "middle_name": "BACUETES",
        "name_prefix": "Dr.",
        "credential": "PHD, DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.