Individual provider Active NPI

Pamela Jean Sipchen, RN, PHN

  • Registered Nurse
  • Santa Ana, CA
National Provider Identifier
1235366105
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
294917 Issued in CA
Practice address
1200 N Main St Ste 300
Santa Ana, CA 92701-3625
Phone
(714) 972-3700
Fax
(714) 972-3744
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 11303 CA
Registered Nurse 163W00000X 294917 CA Primary

Addresses

Primary practice location

1200 N Main St Ste 300
Santa Ana, CA 92701-3625

Mailing address

1200 N Main St Ste 300
Santa Ana, CA 92701-3625
Phone (714) 972-3700

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11303CAMDClinical Social Worker
294917CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1235366105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013625",
            "telephone_number": "714-972-3700",
            "fax_number": "714-972-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013625",
            "telephone_number": "714-972-3700",
            "fax_number": "714-972-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPCHEN",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "11303",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "294917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.