Organization Active NPI

Orcutt Direct Care an Advanced Practice Nursing Corp

  • Primary Care Nurse Practitioner
  • Orcutt, CA
National Provider Identifier
1316639107
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ORCUTT DIRECT CARE AN ADVANCED PRACTICE NURSING CORP
Practice address
1145 E Clark Ave Ste C
Orcutt, CA 93455-5151
Phone
(805) 270-5020
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Alex Schroeder, RN
Title
President
Phone
(805) 270-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1145 E Clark Ave Ste C
Orcutt, CA 93455-5151

Mailing address

1145 E Clark Ave Ste C
Orcutt, CA 93455-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112000184 CA Part B Supplier - Clinic/Group Practice 6305297599 Receives reassigned benefits from 1 practitioner
Practice locations: Orcutt, CA

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1316639107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE C",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE C",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555151",
            "telephone_number": "805-270-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCUTT DIRECT CARE AN ADVANCED PRACTICE NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-270-5020",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orcutt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.