Active NPI
Jade Pacheco Kay, CFNP
- Family Nurse Practitioner
- Westminster, CA
National Provider Identifier
1336368976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP10918
- Practice address
- 15462 Vermont St
Westminster, CA 92683-6141 - Phone
- (714) 230-1779
- NPI assigned
- Apr 24, 2007
- Last updated
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 469068 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP10918 | CA | Primary |
Addresses
Primary practice location
15462 Vermont St
Westminster, CA 92683-6141
Mailing address
15462 Vermont St
Westminster, CA 92683-6141
Phone (714) 230-1779
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469068 | CA | MD | Family Nurse Practitioner |
| NP10918 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Medical Associates, Inc. | Family | Past | Accepting new patients |
| Housecall Doctors Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gerinet Medical Associates
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1336368976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15462 VERMONT ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836141",
"telephone_number": "714-230-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15462 VERMONT ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836141",
"telephone_number": "714-230-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "JADE",
"middle_name": "PACHECO",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "469068",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP10918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.