Individual provider Active NPI

Constance Isabella Betz, FNP-BC

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1548910219
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018017 Issued in CA
Practice address
26401 Lombardy Rd
Mission Viejo, CA 92692-3268
Phone
(949) 412-9743
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018017 CA Primary

Addresses

Primary practice location

26401 Lombardy Rd
Mission Viejo, CA 92692-3268

Mailing address

26401 Lombardy Rd
Mission Viejo, CA 92692-3268

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
I20250109004042 CA Practitioner - Nurse Practitioner 7810425410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Plus LLCGroup PAC ID 6709175912, 43 clinicians

Practice addresses (Care Compare)

215 W Pearl St
Pomona, CA 91768-3114
Phone (888) 256-3814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Plus, LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

501 S Beach Blvd
Anaheim, CA 92804
Phone (714) 816-0540

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

416 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 280-0280

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842

5716 Corsa Ave
Ste 110
Westlake Village, CA 91362
Phone (214) 440-3671

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

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.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1548910219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26401 LOMBARDY RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 LOMBARDY RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923268",
            "telephone_number": "949-412-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZ",
        "first_name": "CONSTANCE",
        "middle_name": "ISABELLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.