Active NPI
Desiree Lynn Pascual, NP
- Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1184364812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018389
- Practice address
- 2932 Claremore LN
Long Beach, CA 90815-1641 - Phone
- (562) 309-1443
- NPI assigned
- Mar 30, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018389 | CA | Primary |
Addresses
Primary practice location
2932 Claremore LN
Long Beach, CA 90815-1641
Mailing address
2932 Claremore LN
Long Beach, CA 90815-1641
Phone (562) 309-1443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95018389 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | residence | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95018389 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1184364812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 CLAREMORE LN",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151641",
"telephone_number": "562-309-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2932 CLAREMORE LN",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151641",
"telephone_number": "562-309-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUAL",
"first_name": "DESIREE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95018389",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "residence",
"affiliation": "N",
"endpointDescription": "residence",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2932 Claremore Ln",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908151641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.