Active NPI
Adriana Angelica Mariscal, FNP-C
- Family Nurse Practitioner
- Orange, CA
National Provider Identifier
1447848171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95016121
- Practice address
- 363 S Main St Ste 310
Orange, CA 92868-3818 - Phone
- (714) 771-8006
- NPI assigned
- Jan 7, 2021
- Last updated
- Sep 24, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95016121 | CA | Primary |
Addresses
Primary practice location
363 S Main St Ste 310
Orange, CA 92868-3818
Mailing address
363 S Main St Ste 310
Orange, CA 92868-3818
Phone (714) 771-8006
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 |
|---|---|---|---|
| 95016121 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Jude Neighborhood Health Centers | Current | Accepting new patients | |
| Cresencia D Banzuela M.D. Inc | Past | Accepting new patients |
Locations
363 S Main St
Ste 310
Orange, CA 92868
Phone (714) 771-8006
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Orange, CA
- NPI 1972375061
-
- Pediatrics Physician
- Corona, CA
- NPI 1033134770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1447848171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 S MAIN ST STE 310",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683818",
"telephone_number": "714-771-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 S MAIN ST STE 310",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683818",
"telephone_number": "714-771-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARISCAL",
"first_name": "ADRIANA",
"middle_name": "ANGELICA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95016121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.