Loretta M Niccola, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

294615 Issued in CA

Practice address

24002 Via Fabricante Ste 501
Mission Viejo, CA 92691-3934

Phone

(949) 454-8811

Fax

(949) 454-8833

NPI assigned

May 12, 2026

Last updated

May 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Gateway Rehab & Wellness Center, Inc.

  • Specialist
  • Mission Viejo, CA
  • NPI 1184746927
  Medicare reassignment

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1518895374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22602 FORMENTOR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24002 VIA FABRICANTE STE 501",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913934",
            "telephone_number": "949-454-8811",
            "fax_number": "949-454-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICCOLA",
        "first_name": "LORETTA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "294615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuyet Ann Nguyen, MD
• Vy P Nguyen, M.D.
• Y Vien Tran Nguyen, D.O.
• Pirayeh Niavarany, AUD.
• Kiana Niazmandi
• Nicholas Jauregui MD Inc (Palliative Care Medical Group)
• David William Nicholls, D.D.S.
• Brooke Ann Nichols, M.D.
• Jonathan Nicholson
• Melisa Nicholson, LCSW

• Nurse Practitioner in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.