NPIMap

Individual provider Active NPI

Karen Jean Caruso, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • San Juan Capistrano, CA
National Provider Identifier
1679816680
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23053 Issued in CA
Practice address
30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1557
Phone
(949) 443-4303
Fax
(949) 443-4033
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN001495 NV
Family Nurse Practitioner 363LF0000X 23053 CA Primary

Addresses

Primary practice location

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1557

Mailing address

PO Box 7087
Orange, CA 92863-7087
Phone (714) 571-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002149 CA Practitioner - Nurse Practitioner 0648572297 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
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Suite 201
Napa, CA 94558-2904
Phone (707) 251-1867

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health, Napa Valley Home health agency, Napa, CA, CCN 057659
  • Silverline Staff Home Health Home health agency, Fremont, CA, CCN 559548
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
23053CAMDClinical Social Worker
APN001495NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Fariborz Shams, DO Inc. CurrentSince Feb 1, 2022 Accepting new patients
Mpac SMH of California PC CurrentSince Sep 9, 2021 Accepting new patients
Anaheim Memorial Medical Center PastSince Feb 1, 2022 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

515 S Beach Blvd
Ste F
Anaheim, CA 92804
Phone (714) 995-7503

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1100 Trancas St
Ste 201
Napa, CA 94558
Phone (707) 251-1867

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

Interoperability endpoints

  • Direct secure messaging: karen.caruso.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1679816680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637087",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-443-4303",
            "fax_number": "949-443-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001495",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.