Active NPI
Lisa Renee Bretches, N.P.
- Pediatric Nurse Practitioner
- Mission Viejo, CA
National Provider Identifier
1477890242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 388136
- Practice address
- 27800 Medical Center Rd
Suite 300
Mission Viejo, CA 92691-6410 - Phone
- (949) 364-2229
- NPI assigned
- Jan 13, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 388136 | CA | Primary |
Addresses
Primary practice location
27800 Medical Center Rd
Suite 300
Mission Viejo, CA 92691-6410
Mailing address
1064 Smoketree Dr
Corona, CA 92882-8783
Phone (951) 733-9552
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388136 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gubbi T Mruthyunjaya | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Mission Viejo, CA
- NPI 1558639815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358035200000",
"number": "1477890242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 SMOKETREE DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928828783",
"telephone_number": "951-733-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 300",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916410",
"telephone_number": "949-364-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETCHES",
"first_name": "LISA",
"middle_name": "RENEE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-13",
"last_updated": "2013-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "388136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.