Individual provider Active NPI

Michele Claire Faraci-Horwich, RN

  • Registered Nurse
  • San Juan Capistrano, CA
National Provider Identifier
1659105989
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
395590 Issued in CA
Practice address
30280 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1561
Phone
(949) 248-1632
Fax
(949) 248-0507
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 395590 CA Primary

Addresses

Primary practice location

30280 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1561

Mailing address

20965 Paseo Nogal
Lake Forest, CA 92630-2254
Phone (949) 939-8017

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
395590CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1659105989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20965 PASEO NOGAL",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302254",
            "telephone_number": "949-939-8017",
            "fax_number": "949-248-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30280 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751561",
            "telephone_number": "949-248-1632",
            "fax_number": "949-248-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARACI-HORWICH",
        "first_name": "MICHELE",
        "middle_name": "CLAIRE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "395590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.