Active NPI
Carol J Brown, BSN, RN, PHN, CPHON
- Registered Nurse
- Mission Viejo, CA
National Provider Identifier
1285989640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 755614
- Practice address
- 28201 Marguerite Pkwy Ste 13
Mission Viejo, CA 92692-3719 - Phone
- (949) 364-3928
- NPI assigned
- Jul 20, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 755614 | CA | Primary |
Addresses
Primary practice location
28201 Marguerite Pkwy Ste 13
Mission Viejo, CA 92692-3719
Mailing address
28201 Marguerite Pkwy Ste 13
Mission Viejo, CA 92692-3719
Phone (949) 364-3928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-0150193 | Other | CA | MEDI-CAL |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 755614 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1285989640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28201 MARGUERITE PKWY STE 13",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926923719",
"telephone_number": "949-364-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28201 MARGUERITE PKWY STE 13",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926923719",
"telephone_number": "949-364-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAROL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "BSN, RN, PHN, CPHON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "755614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "33-0150193",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.