Maryjane Awatin, FNP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

NP95010131 Issued in CA

Practice address

4695 Macarthur CT # 1112a
Newport Beach, CA 92660-1882

Phone

(084) 446-9226

NPI assigned

Oct 9, 2018

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mawatin399187@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faculty Physicians and Surgeons of Llusm

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  • Apple Valley, CA
  • NPI 1205009917

  CA

  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Internal Medicine Physician
  • Loma Linda, CA
  • NPI 1366492399
  NPD

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1295200046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 SANDPIPER DR",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232055",
            "telephone_number": "714-319-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT # 1112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "084-446-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 N Highland Springs Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922203078",
            "country_code": "US",
            "telephone_number": "951-845-8589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWATIN",
        "first_name": "MARYJANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "NP95010131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "NP95010131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John L Avitabile, LMFT
• Joseph Vidaurri Avitabile, PA-C, ATC
• Aviva Alyeshmerni, MD, Inc.
• Abeer R Awad, MD
• Antony Sameh Awad, DO, MS
• Axis Mental Health LLC
• Ayako Physical Therapy, Inc.
• Ayse Ipek Aykol, M.S., LMFT
• Azana Psychology Center, Apc
• Soheir S. Azer, DDS

• All providers in Newport Beach, CA
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.