Clarissa Angela Swanson, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

785953 Issued in CA

Practice address

5770 Riverside Dr BLDG 601
March Arb, CA 92518-1838

Phone

(951) 655-5157

NPI assigned

Mar 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Clarissa Angela Kemp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1306472006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58011 HIDDEN GOLD DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922846290",
            "telephone_number": "760-333-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 RIVERSIDE DR BLDG 601",
            "city": "MARCH ARB",
            "state": "CA",
            "postal_code": "925181838",
            "telephone_number": "951-655-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "CLARISSA",
        "middle_name": "ANGELA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "785953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "KEMP",
            "middle_name": "ANGELA",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Ross, CSW
• Kelli Samples, RN
• Marcos Sandoval, RN
• Shaping Pathways
• Holly Stevenson, RN
• Vanessa Tovar
• United States Veterans Initiative
• Olga Valentine

• All providers in March Arb, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.