Individual provider Active NPI

Junefaith Cangrejo Ismagil, FNP

  • General Practice Registered Nurse
  • Anaheim, CA
National Provider Identifier
1639637945
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
NP95009494 Issued in CA
Practice address
3356 W Ball Rd Ste 100
Anaheim, CA 92804-3727
Phone
(714) 827-6625
Fax
(714) 827-9726
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X NP95009494 CA Primary

Addresses

Primary practice location

3356 W Ball Rd Ste 100
Anaheim, CA 92804-3727

Mailing address

9262 Cape Cod Dr
Huntington Beach, CA 92646-3502
Phone (714) 362-4344

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

State licenses

LicenseStateTypeSpecialty
NP95009494CAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Omar O. Fadeel, MD 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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1639637945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9262 CAPE COD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463502",
            "telephone_number": "714-362-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043727",
            "telephone_number": "714-827-6625",
            "fax_number": "714-827-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAGIL",
        "first_name": "JUNEFAITH",
        "middle_name": "CANGREJO",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "NP95009494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.