Individual provider Active NPI

Gabriela Nakano

  • Acute Care Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1194077214
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95007081 Issued in CA
Practice address
18111 Brookhurst St
Fountain Valley, CA 92708-6728
Phone
(714) 378-7000
NPI assigned
Oct 12, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95007081 CA Primary

Addresses

Primary practice location

18111 Brookhurst St
Fountain Valley, CA 92708-6728

Mailing address

8114 1/2 Wilcox Ave
Cudahy, CA 90201-6026
Phone (323) 304-1147

Other practice location 1

93B Shaker Rd
ap 2b
Albany, NY 12204-1011
Phone (323) 304-1147

Other names 1

  • Gabriela Valencia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116002291 CA Order and Referring Only - Nurse Practitioner 1759716988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194077214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 1/2 WILCOX AVE",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902016026",
            "telephone_number": "323-304-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-378-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93B Shaker Rd",
            "address_2": "ap 2b",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041011",
            "country_code": "US",
            "telephone_number": "323-304-1147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKANO",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "VALENCIA",
            "credential": "ACNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.