Active NPI
Angeles Gacutan Price, RN, MS, CNS
- Registered Nurse
- Vallejo, CA
National Provider Identifier
1316244833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 315180
- Practice address
- 254 Windsor Way
Vallejo, CA 94591-6852 - Phone
- (707) 552-3747
- NPI assigned
- Feb 18, 2011
- Last updated
- Feb 11, 2022
- 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 | 315180 | CA | Primary |
Addresses
Primary practice location
254 Windsor Way
Vallejo, CA 94591-6852
Mailing address
254 Windsor Way
Vallejo, CA 94591-6852
Phone (707) 552-3747
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315180 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1316244833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 WINDSOR WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916852",
"telephone_number": "707-552-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 WINDSOR WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916852",
"telephone_number": "707-552-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ANGELES",
"middle_name": "GACUTAN",
"name_prefix": "Mrs.",
"credential": "RN, MS, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "315180",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "975 Sereno Dr",
"city": "Vallejo",
"state": "CA",
"country_code": "US",
"postal_code": "94589",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.