Individual provider Active NPI

Rebecca Mazarji, NP

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1487909594
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21383 Issued in CA
Practice address
1506 Brookhollow Dr Ste 100
Santa Ana, CA 92705
Phone
(714) 434-4643
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 21383 CA Primary

Addresses

Primary practice location

1506 Brookhollow Dr Ste 100
Santa Ana, CA 92705

Mailing address

26002 Donegal LN
Lake Forest, CA 92630-6070
Phone (714) 742-9165

Other practice location 1

18300 Yorba Linda Blvd
Yorba Linda, CA 92886-4052
Phone (714) 577-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722001112 CA Order and Referring Only - Nurse Practitioner 8426301805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1487909594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26002 DONEGAL LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306070",
            "telephone_number": "714-742-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BROOKHOLLOW DR STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-434-4643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18300 Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928864052",
            "country_code": "US",
            "telephone_number": "714-577-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZARJI",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.