Active NPI
Berenis Amezcua, RN
- Registered Nurse
- Anaheim, CA
National Provider Identifier
1508399353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95101936
- Practice address
- 303 W Lincoln Ave
Suite 105
Anaheim, CA 92805-2936 - Phone
- (714) 922-4100
- Fax
- (714) 956-2748
- NPI assigned
- Apr 8, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95101936 | CA | Primary |
Addresses
Primary practice location
303 W Lincoln Ave
Suite 105
Anaheim, CA 92805-2936
Mailing address
303 W Lincoln Ave
Suite 105
Anaheim, CA 92805-2936
Phone (714) 922-4100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95101936 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491609600000",
"number": "1508399353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W LINCOLN AVE",
"address_2": "SUITE 105",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052936",
"telephone_number": "714-922-4100",
"fax_number": "714-956-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W LINCOLN AVE",
"address_2": "SUITE 105",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052936",
"telephone_number": "714-922-4100",
"fax_number": "714-956-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEZCUA",
"first_name": "BERENIS",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-08",
"last_updated": "2017-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95101936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
- America'S Choices Medical Supply Company
- American Care Services, LLC
- American Current Care of California, a Medical Corporation
- American Current Care of California, a Medical Corporation
- Amethyst Home
- Donna S Amezquita, NP
- Rich Amezquita, M.F.T.
- Ashokkumar I Amin, MD
- Summar Sami Amin, DDS
- Amistad Senior Wellness Programs Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.