Active NPI
Jacquelyn Brooke Call
- Acute Care Nurse Practitioner
- Irvine, CA
National Provider Identifier
1255184081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95020526
- Practice address
- 2515 McCabe Way Ste 350
Irvine, CA 92614-9403 - Phone
- (714) 864-0864
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95020526 | CA | Primary |
Addresses
Primary practice location
2515 McCabe Way Ste 350
Irvine, CA 92614-9403
Mailing address
28021 Paseo del Marino
San Juan Capistrano, CA 92675-3317
Phone (714) 864-0864
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95020526 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1255184081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28021 PASEO DEL MARINO",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753317",
"telephone_number": "714-864-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 MCCABE WAY STE 350",
"city": "IRVINE",
"state": "CA",
"postal_code": "926149403",
"telephone_number": "714-864-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALL",
"first_name": "JACQUELYN",
"middle_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95020526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.