Organization Active NPI

Nurse Practitioners of California

  • Family Nurse Practitioner
  • Menifee, CA
National Provider Identifier
1588964159
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18946 Issued in CA
Legal business name
NURSE PRACTITIONERS OF CALIFORNIA
Practice address
25105 Clover Creek LN
Menifee, CA 92584-8456
Phone
(951) 852-8505
Fax
(951) 746-3496
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Deborah Louise Shannon, N.P.
Title
Founder
Phone
(951) 852-8505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 18946 CA Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 18946 CA

Addresses

Primary practice location

25105 Clover Creek LN
Menifee, CA 92584-8456

Mailing address

26025 Newport Road
Suite a 305
Menifee, CA 92584
UM
Phone (951) 852-8505

National Provider Directory

National Provider Directory

Locations

26025 Newport Rd
#A305
Menifee, CA 92584
Phone (951) 852-8505

26025 Newport Rd
Ste A
Menifee, CA 92584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1588964159",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "26025 NEWPORT ROAD",
            "address_2": "SUITE A 305",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-852-8505",
            "fax_number": "951-746-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25105 CLOVER CREEK LN",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848456",
            "telephone_number": "951-852-8505",
            "fax_number": "951-746-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONERS OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "951-852-8505",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18946",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "18946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.