Active NPI
Nicole Marie Franklin, P.A.-C
- Medical Physician Assistant
- Mission Viejo, CA
National Provider Identifier
1215023718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA16566
- Practice address
- 26800 Crown Valley Pkwy
Suite 305
Mission Viejo, CA 92691-6384 - Phone
- (949) 364-6000
- Fax
- (949) 364-3213
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA16566 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy
Suite 305
Mission Viejo, CA 92691-6384
Mailing address
777 Corporate Dr
Ste 140
Ladera Ranch, CA 92694-2136
Phone (949) 481-2426
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16566 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients |
Interoperability endpoints
- nicole.franklin.1@23619.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Ladera Ranch, CA
- NPI 1831772417
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1215023718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 CORPORATE DR",
"address_2": "STE 140",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942136",
"telephone_number": "949-481-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "SUITE 305",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916384",
"telephone_number": "949-364-6000",
"fax_number": "949-364-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA16566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.