Individual provider Active NPI

Rica Punsalang Angeles, ARNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1346346152
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
327746 Issued in CA
Practice address
6390 Greenwich Dr
Suite 185
San Diego, CA 92122-5973
Phone
(858) 277-5200
Fax
(561) 374-5292
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 327746 CA Primary
Family Nurse Practitioner 363LF0000X 3206802 FL

Addresses

Primary practice location

6390 Greenwich Dr
Suite 185
San Diego, CA 92122-5973

Mailing address

1415 Oleander Ave
Chula Vista, CA 91911-5528
Phone (619) 946-4440

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

LicenseStateTypeSpecialty
327746CAMDFamily Nurse Practitioner
3206802FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Health Comprehensive Imaging Services, Inc. Past Accepting new patients
Bridge Hospice, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1346346152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OLEANDER AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115528",
            "telephone_number": "619-946-4440",
            "fax_number": "561-374-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 GREENWICH DR",
            "address_2": "SUITE 185",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225973",
            "telephone_number": "858-277-5200",
            "fax_number": "561-374-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "RICA",
        "middle_name": "PUNSALANG",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "327746",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3206802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.