Individual provider Active NPI

Ileana Veronica Barragan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1255168340
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031351 Issued in CA
Practice address
1515 N Broadway
Santa Ana, CA 92706-3906
Phone
(714) 542-3500
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031351 CA Primary

Addresses

Primary practice location

1515 N Broadway
Santa Ana, CA 92706-3906

Mailing address

9749 La Alba Dr
Whittier, CA 90603-1321
Phone (562) 972-6827

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

State licenses

LicenseStateTypeSpecialty
95031351CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. M. Forghani S. C CurrentSince Apr 1, 2004 Accepting new patients

Locations

12665 Garden Grove Blvd
Ste 601
Garden Grove, CA 92843
Phone (714) 537-1387

1515 N Broadway
Santa Ana, CA 92706
Phone (714) 542-3500

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75189
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBBBD/Endpoint/ECBBBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1255168340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 LA ALBA DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906031321",
            "telephone_number": "562-972-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063906",
            "telephone_number": "714-542-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "ILEANA",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031351",
            "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 Sep 13, 2024; 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.