Individual provider Active NPI

Barbara I Carrascosa-Andre, ANP

  • Adult Health Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1447589619
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP20681 Issued in CA
Practice address
720 N Tustin Ave Ste 104
Santa Ana, CA 92705-3606
Phone
(949) 825-7650
Fax
(949) 825-7648
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP20681 CA Primary

Addresses

Primary practice location

720 N Tustin Ave Ste 104
Santa Ana, CA 92705-3606

Mailing address

720 N Tustin Ave Ste 104
Santa Ana, CA 92705-3606
Phone (949) 825-7650

Other practice location 1

16300 Sand Canyon Ave
Suite 405
Irvine, CA 92618-3711
Phone (949) 825-7650

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
I20120802000138 CA Practitioner - Nurse Practitioner 6406984434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP20681CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Urology CurrentSince Nov 1, 2016 Accepting new patients
Erik Pasin MD Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

16300 Sand Canyon Ave
Ste 405
Irvine, CA 92618
Phone (949) 825-7650

24953 Paseo de Valencia
Ste 15B
Laguna Hills, CA 92653
Phone (949) 206-0360

24321 Avenida de la Carlota
Ste H7
Laguna Hills, CA 92653
Phone (949) 768-6711

Organizations & group practices 2

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447589619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE STE 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "949-825-7650",
            "fax_number": "949-825-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE STE 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "949-825-7650",
            "fax_number": "949-825-7648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16300 Sand Canyon Ave",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183711",
            "country_code": "US",
            "telephone_number": "949-825-7650",
            "fax_number": "949-825-7648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASCOSA-ANDRE",
        "first_name": "BARBARA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP20681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.