Individual provider Active NPI

Janelle Defiesta Talbo

  • Case Management Registered Nurse
  • Davis, CA
National Provider Identifier
1558055434
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
95222451 Issued in CA
Practice address
1404 Cypress LN
Davis, CA 95616-1316
Phone
(707) 708-1334
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 95222451 CA Primary

Addresses

Primary practice location

1404 Cypress LN
Davis, CA 95616-1316

Mailing address

1404 Cypress LN
Davis, CA 95616-1316
Phone (707) 708-1334

Other names 1

  • Janelle Deguzman Defiesta Former name

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

State licenses

LicenseStateTypeSpecialty
95222451CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1558055434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CYPRESS LN",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161316",
            "telephone_number": "707-708-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 CYPRESS LN",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161316",
            "telephone_number": "707-708-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBO",
        "first_name": "JANELLE",
        "middle_name": "DEFIESTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95222451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "DEFIESTA",
            "middle_name": "DEGUZMAN",
            "credential": "RN, MSN, CCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.