Individual provider Active NPI

Femina Grace Basco Reyes-David, RN, MSN, NP-C

  • Nurse Practitioner
  • Buena Park, CA
National Provider Identifier
1225462401
Registry record updated Aug 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23568 Issued in CA
Practice address
8337 Handel Dr
Buena Park, CA 90621-3116
Phone
(714) 735-9151
Fax
(714) 735-9151
NPI assigned
Aug 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 23568 CA Primary
Family Nurse Practitioner 363LF0000X 23568 CA

Addresses

Primary practice location

8337 Handel Dr
Buena Park, CA 90621-3116

Mailing address

8337 Handel Dr
Buena Park, CA 90621-3116
Phone (714) 735-9151

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
I20231127000068 CA Practitioner - Nurse Practitioner 4183072598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
23568CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Health Network CurrentSince Sep 13, 2023 Accepting new patients

Locations

408 S Beach Blvd
Ste 111
Anaheim, CA 92804
Phone (714) 226-0770

2015 W 1st St
Ste K
Santa Ana, CA 92703
Phone (714) 547-7745

Interoperability endpoints

  • Direct secure messaging: femina.grace.reyes-david.1@25734.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25734/brand/1/csg/21/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377302400000",
    "number": "1225462401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 HANDEL DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213116",
            "telephone_number": "714-735-9151",
            "fax_number": "714-735-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 HANDEL DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213116",
            "telephone_number": "714-735-9151",
            "fax_number": "714-735-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-DAVID",
        "first_name": "FEMINA GRACE",
        "middle_name": "BASCO",
        "credential": "RN, MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-24",
        "last_updated": "2013-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23568",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.