Individual provider Active NPI

Yvonne Moncivalles, NP-C

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1376816371
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 21673 Issued in CA
Practice address
1211 W la Palma Ave Ste 404
Anaheim, CA 92801-2806
Phone
(714) 772-8282
Fax
(714) 577-2125
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 500448 CA
Family Nurse Practitioner 363LF0000X NP 21673 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 404
Anaheim, CA 92801-2806

Mailing address

PO Box 15090
Anaheim, CA 92803-5090
Phone (714) 577-2124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000438 CA Practitioner - Nurse Practitioner 9234354226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 573-8200

999 N Tustin Ave
Suite 1
Santa Ana, CA 92705-3530
Phone (714) 836-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 21673CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California PHS PC CurrentSince Jul 15, 2024 Accepting new patients
J M Geiss DO Apc CurrentSince Jul 15, 2024 Accepting new patients
Chest and Critical Care Consultants a Medical Group CurrentSince Nov 1, 2015 Accepting new patients
Chest and Critical Care Consultants CurrentSince Nov 1, 2015 Accepting new patients
Chest and Critical Care Consultants a Medical Group Family Current Accepting new patients

Locations

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

1420 E Palomar St
Chula Vista, CA 91913

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

14350 Whittier Blvd
Ste 315
Whittier, CA 90605
Phone (562) 464-2163

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yvonne.shaver.p6@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: yvonne.shaver.p4@direct.monarchhealthcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1376816371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15090",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928035090",
            "telephone_number": "714-577-2124",
            "fax_number": "714-577-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012806",
            "telephone_number": "714-772-8282",
            "fax_number": "714-577-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCIVALLES",
        "first_name": "YVONNE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "500448",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 21673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.