Individual provider Active NPI

Jose Canseco, RN

  • Registered Nurse
  • Carlsbad, CA
National Provider Identifier
1578885398
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
624428 Issued in CA
Practice address
1925 Palomar Oaks Way
Suite 107
Carlsbad, CA 92008-6526
Phone
(760) 444-6185
Fax
(760) 930-9531
NPI assigned
Feb 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 624428 CA Primary

Addresses

Primary practice location

1925 Palomar Oaks Way
Suite 107
Carlsbad, CA 92008-6526

Mailing address

2483 Mackenzie Creek Rd
Chula Vista, CA 91914-3533
Phone (619) 271-3932

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
624428CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Solvis Medical, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1578885398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 MACKENZIE CREEK RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143533",
            "telephone_number": "619-271-3932",
            "fax_number": "619-271-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PALOMAR OAKS WAY",
            "address_2": "SUITE 107",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920086526",
            "telephone_number": "760-444-6185",
            "fax_number": "760-930-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSECO",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "624428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.