Active NPI
Daryna Panchenko
- Nurse Practitioner
- San Juan Capistrano, CA
National Provider Identifier
1659232114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95037508
- Practice address
- 27372 Calle Arroyo Ste C
San Juan Capistrano, CA 92675-2797 - Phone
- (949) 534-7507
- NPI assigned
- Nov 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95037508 | CA | Primary |
Addresses
Primary practice location
27372 Calle Arroyo Ste C
San Juan Capistrano, CA 92675-2797
Mailing address
27372 Calle Arroyo Ste C
San Juan Capistrano, CA 92675-2797
Phone (949) 355-5976
Other practice location 1
6770 Magnolia Ave
Riverside, CA 92506-2908
Phone (951) 778-1111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95037508 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763769600000",
"number": "1659232114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27372 CALLE ARROYO STE C",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752797",
"telephone_number": "949-355-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27372 CALLE ARROYO STE C",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752797",
"telephone_number": "949-534-7507"
}
],
"practiceLocations": [
{
"address_1": "6770 Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925062908",
"country_code": "US",
"telephone_number": "951-778-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHENKO",
"first_name": "DARYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-22",
"last_updated": "2025-11-22",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95037508",
"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 Nov 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.