Individual provider Active NPI

Fabiane Muniz-Penny

  • Acute Care Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1548102460
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95038875 Issued in CA
Practice address
27799 Medical Center Rd Ste 270
Mission Viejo, CA 92691-6400
Phone
(949) 365-2387
Fax
(949) 347-0746
NPI assigned
Apr 8, 2026
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95038875 CA Primary

Addresses

Primary practice location

27799 Medical Center Rd Ste 270
Mission Viejo, CA 92691-6400

Mailing address

1329 Altura
San Clemente, CA 92673-3207
Phone (949) 310-8252

Other practice location 1

27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 310-8252

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
I20260529002062 CA Practitioner - Nurse Practitioner 6901376086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

27799 Medical Ctr Rd
Suite 270
Mission Viejo, CA 92691-6400
Phone (949) 365-2387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95038875CAMDAcute Care Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1548102460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 ALTURA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733207",
            "telephone_number": "949-310-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27799 MEDICAL CENTER RD STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916400",
            "telephone_number": "949-365-2387",
            "fax_number": "949-347-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27700 Medical Center Rd",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916426",
            "country_code": "US",
            "telephone_number": "949-310-8252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ-PENNY",
        "first_name": "FABIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95038875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.