Active NPI
Rica Punsalang Angeles, ARNP
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1346346152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 327746
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 327746 | CA | MD | Family Nurse Practitioner |
| 3206802 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1396173597
-
- Radiology Clinic/Center
- Boynton Beach, FL
- NPI 1205840071
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.