Renee Sue Pozza, PHD, RN, FNP-BC, CNS

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12319 Issued in CA

Practice address

675 Camino de Los Mares
Suite 210
San Clemente, CA 92673-2835

Phone

(949) 496-6002

Fax

(949) 496-6004

NPI assigned

Jan 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

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.

• Gateway Comprehensive Medical Group

  • General Practice Physician
  • San Diego, CA
  • NPI 1831490184
  NPD (past)
• Southern California Liver Centers Inc

  • Hepatology Physician
  • Coronado, CA
  • NPI 1871633099
  NPD (past)

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1275770661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 210",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-496-6002",
            "fax_number": "949-496-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 210",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-496-6002",
            "fax_number": "949-496-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZZA",
        "first_name": "RENEE",
        "middle_name": "SUE",
        "credential": "PHD, RN, FNP-BC, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "445034",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "12319",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "90",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Plummer
• Danielle Nicole Portney, MA, LMFT
• Pedro Jose Postigo, M.D.
• Karen Suzanne Potter, DDS
• Sara Pourmand
• Crystal Danielle Prancevic, LMFT
• Precision Metabolix a Medical Corporation
• Premier Health Care Chiropractic & Wellness
• Sofia Abril Prentiss
• Prime Mading Anesthesia, Inc.

• Family Nurse Practitioner in San Clemente, CA
• Providers in San Clemente, 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 Jan 7, 2009; 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.