Individual provider Active NPI

Deborah Ann Trevisan, R.N.

  • Case Management Registered Nurse
  • Santa Ana, CA
National Provider Identifier
1619375169
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
272751 Issued in CA
Practice address
1831 Whitestone Ter
Santa Ana, CA 92705-2557
Phone
(949) 293-4697
Fax
(714) 368-3474
NPI assigned
Dec 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 272751 CA Primary

Addresses

Primary practice location

1831 Whitestone Ter
Santa Ana, CA 92705-2557

Mailing address

1831 Whitestone Ter
Santa Ana, CA 92705-2557
Phone (949) 293-4697

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
272751CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1619375169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WHITESTONE TER",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052557",
            "telephone_number": "949-293-4697",
            "fax_number": "714-368-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WHITESTONE TER",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052557",
            "telephone_number": "949-293-4697",
            "fax_number": "714-368-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVISAN",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "272751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.