Nicole Ganci, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

266570 Issued in CA

Practice address

1550 Superior Ave
Costa Mesa, CA 92627-3653

Phone

(949) 270-2100

Fax

(949) 650-6976

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1568876209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAGNEY LN APT 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632622",
            "telephone_number": "714-472-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SUPERIOR AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273653",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCI",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "266570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Angel Gama
• Alma D Gamboa
• Aurelio Gamboa Jr.
• Luz Liliana Gamboa, D.D.S.
• Ruben Gamez, M.D.
• Samantha Eva Gandara
• Amit Dinesh Gandhi, PHYSICAL THERAPIST
• Swati R. Gandhi, MD
• Glenn Aurellano Ganir, RN
• Christine Killam Gann

• Licensed Vocational Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.