Individual provider Active NPI

Eileen R Legaspi

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1659610665
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22722 Issued in CA
Practice address
87 Scripps Dr Ste 210
Suite C
Sacramento, CA 95825-6381
Phone
(916) 512-1006
Fax
(877) 781-8669
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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 22722 CA Primary

Addresses

Primary practice location

87 Scripps Dr Ste 210
Suite C
Sacramento, CA 95825-6381

Mailing address

PO Box 580570
Elk Grove, CA 95758-0010
Phone (916) 512-1006

Other names 1

  • Eileen R Legaspi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422002293 CA Practitioner - Nurse Practitioner 5991937153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Inclusive Medical Services IncGroup PAC ID 3274855879, 21 clinicians

Practice addresses (Care Compare)

5900 Coyle Ave
Suite a
Carmichael, CA 95608-0400
Phone (916) 330-4447

Merit-based Incentive Payment System (MIPS)

Final score
91.12 of 100Reported as group
Quality
66.76
Promoting interoperability
100
Improvement activities
40
Cost
70.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Specialists Medical Corporation CurrentSince Jul 15, 2019 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Jan 21, 2015 Accepting new patients
Capital Medical Extended Care PastSince Jan 6, 2014 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1659610665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580570",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580010",
            "telephone_number": "916-512-1006",
            "fax_number": "877-781-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR STE 210",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256381",
            "telephone_number": "916-512-1006",
            "fax_number": "877-781-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "EILEEN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "LEGASPI",
            "middle_name": "R",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.