Active NPI
Roxanne Quijano
- Acute Care Nurse Practitioner
- Mission Hills, CA
National Provider Identifier
1699596965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95026147
- Practice address
- 15031 Rinaldi St
Mission Hills, CA 91345-1207 - Phone
- (714) 336-0623
- NPI assigned
- Oct 21, 2024
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95026147 | CA | Primary |
Addresses
Primary practice location
15031 Rinaldi St
Mission Hills, CA 91345-1207
Mailing address
9366 Meridian LN
Garden Grove, CA 92841-1260
Other practice location 1
9366 Meridian Ln
Garden Grove, CA 92841-1260
Phone (714) 336-0623
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 |
|---|---|---|---|
| 95026147 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1699596965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9366 MERIDIAN LN",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928411260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15031 RINALDI ST",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451207",
"telephone_number": "714-336-0623"
}
],
"practiceLocations": [
{
"address_1": "9366 Meridian Ln",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928411260",
"country_code": "US",
"telephone_number": "714-336-0623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIJANO",
"first_name": "ROXANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95026147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
- Pure Hearts Child and Family Therapy Center Inc.
- Puresource Advanced Inc
- Samina Qadir, NP
- Tedmur Qozi-Habash, M.D.
- Evan Quick, PA-C
- Rafael Eduardo Quinonez, M.D., PHD
- Monet Andrea Quon, NURSE PRACTITIONER
- Radiance Hospice, Inc.
- Rafael E Quinonez MD Inc
- Rafael O Quinonez MD a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.