Janice Lynn Vistro Tamayo, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006791 Issued in CA

Practice address

921 Pacific Coast Hwy
Seal Beach, CA 90740-6244

Phone

(562) 896-5440

NPI assigned

Nov 25, 2017

Last updated

Apr 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Array Skin Therapy a Medical CorporationGroup PAC ID 1557534278, 9 clinicians

Minuteclinic Diagnostic Medical Group of Orange County IncGroup PAC ID 5991868929, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.98 of 100Reported as group

Quality

66.36

Improvement activities

40

Cost

81.59

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Array Skin Therapy, a Medical Corporation

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1891075123
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879

  Family

  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD
• Minuteclinic Primary Care California

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1083421614
  Medicare reassignment NPD

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1255845525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16037 AVENIDA SAN MIGUEL",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906383442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406244",
            "telephone_number": "562-896-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "JANICE LYNN",
        "middle_name": "VISTRO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Stuck
• Jennifer Lane Styzens, BCBA
• Mustafa I Suleiman, MD
• Lauren N Swanson, PA-C
• John Sykora
• Sullyvan W Tang, M.D.
• Mitchell Todd Taubman, PH.D.
• Stephen E Teipe, PA-C
• Sarah Margaret Tello, LEP
• Alan M Tenazas, PA

• Family Nurse Practitioner in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.

Verify at the official NPI Registry.