Kristy Dean Nenadal, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95022572 Issued in CA

Practice address

13692 Hewes Ave
Santa Ana, CA 92705-2774

Phone

(619) 244-0773

NPI assigned

Sep 28, 2022

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristy Dean Ruffing Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clinica Medica Mi Pueblo, Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Corona, CA
  • NPI 1144571985
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487378089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13692 HEWES AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052774",
            "telephone_number": "619-244-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13692 HEWES AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052774",
            "telephone_number": "619-244-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823209",
            "country_code": "US",
            "telephone_number": "951-256-2783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927063624",
            "country_code": "US",
            "telephone_number": "714-760-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NENADAL",
        "first_name": "KRISTY",
        "middle_name": "DEAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristy@wangplasticsurgery.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure work email",
            "address_1": "817 W 17th St Fl 3",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927063624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristynenadal@gmail.ocm",
            "affiliation": "N",
            "endpointDescription": "direct contact",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "DIRECT CONTACT INFORMATION",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "health information",
            "address_1": "13692 Hewes Ave",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927052774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "RUFFING",
            "middle_name": "DEAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nelson Lowe, D.D.S., Incorporated
• Allen Nelson
• Brian Nelson, LVN
• Casey Morris Nelson, M.D.
• Penny E Nelson, NONE
• Jordan Marie Nenni, MA, MS
• Barbara Nesbitt
• William Reynolds Nesbitt IV, LMFT
• Net RX Inc
• Gail Neuman, RN, FNP

• Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.