Active NPI
Sofia B Feliciano, DNP
- Family Nurse Practitioner
- Murrieta, CA
National Provider Identifier
1497529812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95026429
- Practice address
- 25220 Hancock Ave Ste 100
Murrieta, CA 92562-0901 - Phone
- (951) 663-6746
- NPI assigned
- Nov 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95170492 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95026429 | CA | Primary |
Addresses
Primary practice location
25220 Hancock Ave Ste 100
Murrieta, CA 92562-0901
Mailing address
30141 Antelope Rd Ste D
#1208
Menifee, CA 92584-8066
Phone (951) 595-7130
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95170492 | CA | MD | Registered Nurse |
| 95026429 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1497529812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30141 ANTELOPE RD STE D",
"address_2": "#1208",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925848066",
"telephone_number": "951-595-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25220 HANCOCK AVE STE 100",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925620901",
"telephone_number": "951-663-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "SOFIA",
"middle_name": "B",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95170492",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95026429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.