Individual provider Active NPI

Michelle Del Rosario Sison, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1467009084
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95015211 Issued in CA
Practice address
600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552
Phone
(714) 953-4455
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95015211 CA Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552

Mailing address

4276 Katella Ave Ste 220
Los Alamitos, CA 90720-3562

Other practice location 1

6301 Beach Blvd Ste 245
Buena Park, CA 90621-4031
Phone (714) 736-0231

Other practice location 2

3551 Camino Mira Costa Ste T
San Clemente, CA 92672-3508
Phone (949) 272-4444

Other practice location 3

421 N Brookhurst St Ste 119
Anaheim, CA 92801-5618
Phone (714) 361-0898

Other practice location 4

680 Langsdorf Dr Ste 200
Fullerton, CA 92831-3702
Phone (714) 871-9264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024573CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance Center, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Child Guidance Center, Inc. Past Accepting new patients
Child Guidance Center, Inc. Past Accepting new patients

Locations

525 Cabrillo Park Dr
Ste 300
Santa Ana, CA 92701
Phone (714) 871-9264

600 W Santa Ana Blvd
Ste 600
Santa Ana, CA 92701
Phone (714) 871-9264

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1467009084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 KATELLA AVE STE 220",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014552",
            "telephone_number": "714-953-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Beach Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906214031",
            "country_code": "US",
            "telephone_number": "714-736-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Camino Mira Costa Ste T",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723508",
            "country_code": "US",
            "telephone_number": "949-272-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 N Brookhurst St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015618",
            "country_code": "US",
            "telephone_number": "714-361-0898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Langsdorf Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313702",
            "country_code": "US",
            "telephone_number": "714-871-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISON",
        "first_name": "MICHELLE",
        "middle_name": "DEL ROSARIO",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95015211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.