Individual provider Active NPI

Andrew Oliver Chengcuenca, RN

  • Registered Nurse
  • Santa Barbara, CA
National Provider Identifier
1275055006
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95123802 Issued in CA
Practice address
305 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone
(805) 884-1647
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95123802 CA Primary

Addresses

Primary practice location

305 Camino del Remedio
Santa Barbara, CA 93110-1332

Mailing address

305 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 884-1647

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
95123802CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275055006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CAMINO DEL REMEDIO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-884-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CAMINO DEL REMEDIO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-884-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENGCUENCA",
        "first_name": "ANDREW",
        "middle_name": "OLIVER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95123802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.