Active NPI
Vanessa Segovia
- Case Management Registered Nurse
- Concord, CA
National Provider Identifier
1386129138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 806622
- Practice address
- 2500 Bates Ave.
Suite B
Concord, CA 94520 - Phone
- (925) 421-5057
- NPI assigned
- Sep 27, 2018
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 806622 | CA | Primary |
Addresses
Primary practice location
2500 Bates Ave.
Suite B
Concord, CA 94520
Mailing address
2500 Bates Ave Ste B
Concord, CA 94520-1208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B8423426 | Other | DRIVER'S LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806622 | CA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Outcomes for Children Registered Nursing PC | Case Management | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Registered Nurse
- Fremont, CA
- NPI 1467347344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1386129138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BATES AVE STE B",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BATES AVE.",
"address_2": "SUITE B",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-421-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGOVIA",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "806622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "B8423426",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.