Active NPI
Evangeline Viste
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1164848933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23592
- Practice address
- 7035 Convoy CT
San Diego, CA 92111-1016 - Phone
- (858) 573-0090
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23592 | CA | Primary |
Addresses
Primary practice location
7035 Convoy CT
San Diego, CA 92111-1016
Mailing address
24661 La Cresta Dr
Apt 8
Dana Point, CA 92629-2557
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1164848933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24661 LA CRESTA DR",
"address_2": "APT 8",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7035 CONVOY CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111016",
"telephone_number": "858-573-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISTE",
"first_name": "EVANGELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.