Active NPI
Emmylou Valdehueza Coronel
- Nurse Practitioner
- San Diego, CA
National Provider Identifier
1700774783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F10250837
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (858) 657-7000
- NPI assigned
- Jun 26, 2025
- Last updated
- Jul 17, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F10250837 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine Registered Nurse | 163WC0200X | 518301 | CA |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
1784 Medinah Rd
San Marcos, CA 92069-1181
Phone (858) 784-1187
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 |
|---|---|---|---|
| 518301 | CA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1700774783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1784 MEDINAH RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691181",
"telephone_number": "858-784-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "858-657-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONEL",
"first_name": "EMMYLOU",
"middle_name": "VALDEHUEZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "F10250837",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "518301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.