Active NPI
Elaine Mae Librado Suguitan, MS RN CNS
- Gerontology Clinical Nurse Specialist
- Cupertino, CA
National Provider Identifier
1598899254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 2597
- Practice address
- 19000 Homestead Rd
Memory Clinic
Cupertino, CA 95014-0712 - Phone
- (408) 366-4372
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 2597 | CA | Primary |
Addresses
Primary practice location
19000 Homestead Rd
Memory Clinic
Cupertino, CA 95014-0712
Mailing address
19000 Homestead Rd
Memory Clinic
Cupertino, CA 95014-0712
Phone (408) 366-4372
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2597 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1598899254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19000 HOMESTEAD RD",
"address_2": "MEMORY CLINIC",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140712",
"telephone_number": "408-366-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19000 HOMESTEAD RD",
"address_2": "MEMORY CLINIC",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140712",
"telephone_number": "408-366-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGUITAN",
"first_name": "ELAINE MAE",
"middle_name": "LIBRADO",
"name_prefix": "Mrs.",
"credential": "MS RN CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "2597",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1190 Veterans Blvd",
"city": "Redwood City",
"state": "CA",
"country_code": "US",
"postal_code": "940632037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.