Scarlett Agcaoili, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95228951 Issued in CA

Practice address

6130 Camino Real SPC 213
Jurupa Valley, CA 92509-8213

Phone

(909) 645-2278

NPI assigned

Dec 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Scarlett Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1639948201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 CAMINO REAL SPC 213",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925098213",
            "telephone_number": "909-645-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 CAMINO REAL SPC 213",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925098213",
            "telephone_number": "909-645-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGCAOILI",
        "first_name": "SCARLETT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95228951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCARLETT",
            "last_name": "PARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Jurupa Valley, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.