Individual provider Active NPI

Jonathan Eguia, RN-BC

  • Psychiatric/Mental Health Registered Nurse
  • Sacramento, CA
National Provider Identifier
1568063998
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
836733 Issued in CA
Practice address
10161 Croydon Way Ste 2
Sacramento, CA 95827-2107
Phone
(619) 888-5273
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 836733 CA Primary

Addresses

Primary practice location

10161 Croydon Way Ste 2
Sacramento, CA 95827-2107

Mailing address

4015 Babson Dr
Elk Grove, CA 95758-6400
Phone (619) 888-5273

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
836733CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1568063998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 BABSON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586400",
            "telephone_number": "619-888-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 CROYDON WAY STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272107",
            "telephone_number": "619-888-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUIA",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "RN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "836733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.