Individual provider Active NPI

Keizl Ivan Davantes Jamie, RN

  • Case Management Registered Nurse
  • Laguna Niguel, CA
National Provider Identifier
1669388641
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
95356261 Issued in CA
Practice address
3 Trapani
Laguna Niguel, CA 92677-9009
Phone
(725) 264-8323
NPI assigned
Aug 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 95356261 CA Primary

Addresses

Primary practice location

3 Trapani
Laguna Niguel, CA 92677-9009

Mailing address

322 Karen Ave Unit 207
Las Vegas, NV 89109-0413

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

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1669388641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 KAREN AVE UNIT 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TRAPANI",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926779009",
            "telephone_number": "725-264-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIE",
        "first_name": "KEIZL IVAN",
        "middle_name": "DAVANTES",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95356261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.