Individual provider Active NPI

Maria Veles Cachola, NP

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1649208760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 15294 Issued in CA
Practice address
3130 S Harbor Blvd
Suite 250
Santa Ana, CA 92704-6824
Phone
(714) 619-8774
Fax
(714) 327-0666
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 15294 CA Primary

Addresses

Primary practice location

3130 S Harbor Blvd
Suite 250
Santa Ana, CA 92704-6824

Mailing address

23064 Archibald Ave
Carson, CA 90745-4717
Phone (310) 518-2584

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 15294CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649208760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23064 ARCHIBALD AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454717",
            "telephone_number": "310-518-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S HARBOR BLVD",
            "address_2": "SUITE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046824",
            "telephone_number": "714-619-8774",
            "fax_number": "714-327-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHOLA",
        "first_name": "MARIA VELES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 15294",
            "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 Jul 8, 2007; 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.