Active NPI
Cristina Reyes Fan, O.H.N.P.
- Occupational Health Nurse Practitioner
- Irvine, CA
National Provider Identifier
1194070623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 7271
- Practice address
- 29 Oroville
Irvine, CA 92602-0923 - Phone
- (626) 216-0612
- NPI assigned
- Jul 20, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7271 | CA | |
| Occupational Health Nurse Practitioner | 363LX0106X | 7271 | CA | Primary |
Addresses
Primary practice location
29 Oroville
Irvine, CA 92602-0923
Mailing address
29 Oroville
Irvine, CA 92602-0923
Phone (626) 216-0612
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7271 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1194070623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 OROVILLE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926020923",
"telephone_number": "626-216-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 OROVILLE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926020923",
"telephone_number": "626-216-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "CRISTINA",
"middle_name": "REYES",
"name_prefix": "Mrs.",
"credential": "O.H.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "7271",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "7271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.