Active NPI
Olivia Nicole Cota, AGPCNP-BC
- Nurse Practitioner
- Irvine, CA
National Provider Identifier
1386036739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95001600
- Practice address
- 220 Commerce
Suite 100
Irvine, CA 92602-1323 - Phone
- (714) 921-2273
- NPI assigned
- Feb 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95001600 | CA | Primary |
Addresses
Primary practice location
220 Commerce
Suite 100
Irvine, CA 92602-1323
Mailing address
220 Commerce
Suite 100
Irvine, CA 92602-1323
Other names 1
- Mrs. Olivia Nicole Lustro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1386036739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 COMMERCE",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 COMMERCE",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021323",
"telephone_number": "714-921-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTA",
"first_name": "OLIVIA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95001600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "LUSTRO",
"middle_name": "NICOLE",
"prefix": "MRS.",
"credential": "AGPCNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.