Individual provider Active NPI

Adriana Sarah Kane, FNP

  • Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1427657550
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015674 Issued in CA
Practice address
23521 Paseo de Valencia Ste 311
Laguna Hills, CA 92653-3144
Phone
(949) 812-9903
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015674 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia Ste 311
Laguna Hills, CA 92653-3144

Mailing address

23521 Paseo de Valencia Ste 311
Laguna Hills, CA 92653-3144
Phone (949) 812-9903

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
I20220104000491 CA Practitioner - Nurse Practitioner 4688065550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paloma Medical Group IncGroup PAC ID 5193821908, 18 clinicians

Practice addresses (Care Compare)

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1585
Phone (949) 443-4303

Merit-based Incentive Payment System (MIPS)

Final score
80.2 of 100Reported as group
Quality
59.72
Improvement activities
40
Cost
66.71

Merit-based Incentive Payment System (MIPS)

Final score
60.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
80.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Array Skin Therapy, a Medical Corporation CurrentSince Jan 18, 2022 Accepting new patients
Paloma Medical Group Inc CurrentSince Sep 12, 2022 Accepting new patients
Paloma Incare CurrentSince Sep 1, 2024 Accepting new patients

Locations

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26932 Oso Pkwy
Ste 270
Mission Viejo, CA 92691
Phone (714) 313-9668

1601 Dove St
Ste 184
Newport Beach, CA 92660
Phone (949) 600-5325

30230 Rancho Viejo Rd
Ste 200
San Juan Capo, CA 92675
Phone (949) 443-4114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJIBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1427657550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 311",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533144",
            "telephone_number": "949-812-9903",
            "fax_number": "949-305-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 311",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533144",
            "telephone_number": "949-812-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "ADRIANA",
        "middle_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.