Individual provider Active NPI

Joanna Falcon, MSN, FNP-C

  • Family Nurse Practitioner
  • Brawley, CA
National Provider Identifier
1689254039
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016759 Issued in CA
Practice address
742 Milano CT
Brawley, CA 92227-7760
Phone
(760) 234-7143
NPI assigned
Apr 10, 2021
Last updated
Apr 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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 95016759 CA Primary

Addresses

Primary practice location

742 Milano CT
Brawley, CA 92227-7760

Mailing address

742 Milano CT
Brawley, CA 92227-7760
Phone (760) 234-7143

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
I20210716000820 CA Practitioner - Nurse Practitioner 9830591536 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy MD Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Vo Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Vo Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Imperial Manor Skilled Nursing Inc CurrentSince Aug 10, 2024 Accepting new patients
Legacy MD Medical Group Inc PastSince May 28, 2024 Accepting new patients

Locations

290 Main St
Brawley, CA 92227
Phone (760) 352-2551

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551

222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 352-2551

690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800

690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910
Phone (760) 352-2551

1590 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2551

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1689254039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MILANO CT",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277760",
            "telephone_number": "760-234-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MILANO CT",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277760",
            "telephone_number": "760-234-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "JOANNA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.