Individual provider Active NPI

Brenda Esguerra Abalos, RN

  • Registered Nurse
  • National City, CA
National Provider Identifier
1497064737
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
703516 Issued in CA
Practice address
904 Harbison PL
National City, CA 91950-3950
Phone
(619) 434-6128
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 703516 CA Primary

Addresses

Primary practice location

904 Harbison PL
National City, CA 91950-3950

Mailing address

208 Pogo Grande
Dagupan, PANGASINAN 2400
PH

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
703516CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1497064737",
    "addresses": [
        {
            "country_code": "PH",
            "country_name": "Philippines",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "208 POGO GRANDE",
            "city": "DAGUPAN",
            "state": "PANGASINAN",
            "postal_code": "2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HARBISON PL",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503950",
            "telephone_number": "619-434-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABALOS",
        "first_name": "BRENDA",
        "middle_name": "ESGUERRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "703516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.