Active NPI
Marievel Cristobal Jose, REGISTERED NURSE
- Adult Psychiatric/Mental Health Registered Nurse
- Santa Ana, CA
National Provider Identifier
1407957335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN428037
- Practice address
- 405 W 5TH St
Santa Ana, CA 92701-4519 - Phone
- (714) 834-6900
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN428037 | CA | Primary |
Addresses
Primary practice location
405 W 5TH St
Santa Ana, CA 92701-4519
Mailing address
405 W 5TH St
Santa Ana, CA 92701-4519
Phone (714) 834-6900
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 |
|---|---|---|---|
| RN428037 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1407957335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014519",
"telephone_number": "714-834-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014519",
"telephone_number": "714-834-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "MARIEVEL",
"middle_name": "CRISTOBAL",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "RN428037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Jose E Aguilar M D a Medical Corporation
- Jose E Aguilar MD a Medical Corporation
- Jose L Valdez MD Inc
- Jose Luis Osoria D.D.S.
- Marie-Marie Renee George Jose
- Joseph Chau Bao Nguyen, Chiropractic, Corp.
- Joseph K. Kim DDS, Inc.
- Joseph Mina Atalla DDS Inc
- Joseph Renzi, Jr., D.D.S., Inc.
- Anne Lorraine Joseph, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.