Individual provider Active NPI

Joan Gaerlan, RN

  • Critical Care Medicine Registered Nurse
  • Menifee, CA
National Provider Identifier
1346887064
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
661303 Issued in CA
Practice address
24911 Bridlewood Cir
Menifee, CA 92584-2001
Phone
(619) 400-9357
NPI assigned
Dec 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 661303 CA
Critical Care Medicine Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0200X 661303 CA Primary

Addresses

Primary practice location

24911 Bridlewood Cir
Menifee, CA 92584-2001

Mailing address

24911 Bridlewood Cir
Menifee, CA 92584-2001
Phone (619) 400-9357

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nurse

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
661303CAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1346887064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24911 BRIDLEWOOD CIR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925842001",
            "telephone_number": "619-400-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24911 BRIDLEWOOD CIR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925842001",
            "telephone_number": "619-400-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERLAN",
        "first_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "661303",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "661303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nurse",
            "affiliation": "N",
            "address_1": "24911 Bridlewood Cir",
            "city": "Menifee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925842001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.