Active NPI
Andrea Dangerfield Osorio, NP
- Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP16584
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (833) 823-9777
- NPI assigned
- Nov 8, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP16584 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (619) 543-5751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP16584 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16584 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Emergency Services Medical Corporation Coronado | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Regents of the University of California | Nurse Practitioner | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| UC San Diego Health Community Group | Current | Accepting new patients | |
| Emergency Services Medical Corporation | Current | Accepting new patients | |
| Regents of the University of California | Nurse Practitioner | Current | Accepting new patients |
| Regents of the University of California | Nurse Practitioner | Current | Accepting new patients |
| Grossmont Emergency Medical Group | Past | Accepting new patients | |
| Pharma Holding Inc | Past | Accepting new patients | |
| Quality Drive Emergency Physicians LLC | Past | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600
16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
Interoperability endpoints
- andrea.dangerfield.osorio.1@2983.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1699725069
-
- Emergency Medicine Physician
- Coronado, CA
- NPI 1598395675
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
Nurse Practitioner
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
Nurse Practitioner
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1659864247
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1508968751
Nurse Practitioner
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Urgent Care Clinic/Center
- Queens Village, NY
- NPI 1548889736
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Emergency Medicine Physician
- La Mesa, CA
- NPI 1861437501
-
- Pharmacy
- Brooklyn, NY
- NPI 1396153680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1235209495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "833-823-9777"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "619-543-5751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSORIO",
"first_name": "ANDREA",
"middle_name": "DANGERFIELD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP16584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP16584",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.