Individual provider Active NPI

Gianina Ludusan, RN,BSN,PHN

  • Registered Nurse
  • Santa Ana, CA
National Provider Identifier
1629372636
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
701136 Issued in CA
Practice address
550 North Flower Street
Santa Ana, CA 92703
Phone
(714) 647-4666
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 701136 CA Primary

Addresses

Primary practice location

550 North Flower Street
Santa Ana, CA 92703

Mailing address

P.O . Box 5133
Anaheim, CA 92814-0220

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
701136CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1629372636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O . BOX 5133",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928140220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NORTH FLOWER STREET",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92703",
            "telephone_number": "714-647-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDUSAN",
        "first_name": "GIANINA",
        "name_prefix": "Mrs.",
        "credential": "RN,BSN,PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "701136",
            "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 5, 2011; 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.