Individual provider Active NPI

Loribette Antonio, F.N.P.

  • Family Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1467882910
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23381 Issued in CA
Practice address
727 W San Marcos Blvd
Ste 112
San Marcos, CA 92078-1244
Phone
(760) 736-8810
Fax
(760) 736-3157
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23381 CA Primary

Addresses

Primary practice location

727 W San Marcos Blvd
Ste 112
San Marcos, CA 92078-1244

Mailing address

727 W San Marcos Blvd
Ste 112
San Marcos, CA 92078-1244
Phone (760) 736-8810

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

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1467882910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W SAN MARCOS BLVD",
            "address_2": "STE 112",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781244",
            "telephone_number": "760-736-8810",
            "fax_number": "760-736-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W SAN MARCOS BLVD",
            "address_2": "STE 112",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781244",
            "telephone_number": "760-736-8810",
            "fax_number": "760-736-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "LORIBETTE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.