Active NPI
Anne Palacios, RN
- Registered Nurse
- Moorpark, CA
National Provider Identifier
1417810854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 402188
- Practice address
- 280 Casey Rd
Moorpark, CA 93021-1131 - Phone
- (805) 517-1722
- NPI assigned
- Dec 3, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 402188 | CA | Primary |
Addresses
Primary practice location
280 Casey Rd
Moorpark, CA 93021-1131
Mailing address
1353 Village CT
Simi Valley, CA 93065-4313
Phone (805) 517-1722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 402188 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1417810854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 VILLAGE CT",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654313",
"telephone_number": "805-517-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CASEY RD",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930211131",
"telephone_number": "805-517-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "ANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "402188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorpark, CA
- Maria Virginia Nunez Ibarra, RD
- Jeffrey Oakes, NCC, LSC, THM, MS,
- Daniel Oksun-Okah
- Michelle Caroline Ontiveros
- Alexandra Nur Ozder
- Brijesh J Patel, M.D., D.D.S
- Paul H Jang DDS Inc
- Paul K. Takemoto, D.D.S., Professional Corporation (Moorpark Smiles Dental Group)
- Pdap of Ventura County, Inc.
- Pdap of Ventura County, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.