Individual provider Active NPI

Jocelyn Andrea Ablian, NP

  • Pediatric Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1154626604
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
565903 Issued in CA
Practice address
1065 E Oak St
Anaheim, CA 92805-4108
Phone
(714) 635-7104
NPI assigned
Jan 13, 2011
Sex
Female
Sole proprietor
No

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
565903CAMDPediatric Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 565903 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1065 E Oak St
Anaheim, CA 92805-4108

Mailing address

1065 E Oak St
Anaheim, CA 92805-4108
Phone (714) 635-7104

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2011.

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1154626604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 E OAK ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054108",
            "telephone_number": "714-635-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E OAK ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054108",
            "telephone_number": "714-635-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLIAN",
        "first_name": "JOCELYN",
        "middle_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "565903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.