Active NPI
Princess Ventus Bartolome, N.P.
- Nurse Practitioner
- Whittier, CA
National Provider Identifier
1548445869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP 17552
- Practice address
- 14350 Whittier Blvd
Suite 100
Whittier, CA 90605-2138 - Phone
- (562) 696-1104
- Fax
- (562) 696-2885
- NPI assigned
- Jan 5, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP 17552 | CA | Primary |
Addresses
Primary practice location
14350 Whittier Blvd
Suite 100
Whittier, CA 90605-2138
Mailing address
14350 Whittier Blvd
Suite 100
Whittier, CA 90605-2138
Phone (562) 696-1104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN 624320 | Other | CA | REGISTERED NURSE LICENSE |
| NP 17552 | Other | CA | NURSE PRACTITIONER LICENS |
Other names 1
- Princess Olaes Ventus
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 17552 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1548445869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14350 WHITTIER BLVD",
"address_2": "SUITE 100",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052138",
"telephone_number": "562-696-1104",
"fax_number": "562-696-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14350 WHITTIER BLVD",
"address_2": "SUITE 100",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052138",
"telephone_number": "562-696-1104",
"fax_number": "562-696-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLOME",
"first_name": "PRINCESS",
"middle_name": "VENTUS",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-05",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP 17552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "RN 624320",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENS",
"identifier": "NP 17552",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRINCESS",
"last_name": "VENTUS",
"middle_name": "OLAES",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.