Active NPI
Jennifer Venator, CNS, RNFA
- Perioperative Clinical Nurse Specialist
- Fullerton, CA
National Provider Identifier
1710489802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perioperative Clinical Nurse Specialist
- License
- 4651
- Practice address
- 101 E Valencia Mesa Dr
Fullerton, CA 92835-3809 - Phone
- (714) 856-9730
- NPI assigned
- Mar 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 653887 | CA | |
| Perioperative Clinical Nurse Specialist | 364SP2800X | 4651 | CA | Primary |
Addresses
Primary practice location
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Mailing address
744 E Vista del Playa Ave
Orange, CA 92865-3438
Phone (714) 856-9730
Other practice location 1
681 S Parker St
Orange, CA 92868-4719
Phone (714) 856-9730
Other practice location 2
280 S Main St
Orange, CA 92868-3852
Phone (714) 856-9730
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653887 | CA | MD | Registered Nurse First Assistant |
| 4651 | CA | MD | Perioperative Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1710489802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 E VISTA DEL PLAYA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928653438",
"telephone_number": "714-856-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E VALENCIA MESA DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353809",
"telephone_number": "714-856-9730"
}
],
"practiceLocations": [
{
"address_1": "681 S Parker St",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684719",
"country_code": "US",
"telephone_number": "714-856-9730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 S Main St",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683852",
"country_code": "US",
"telephone_number": "714-856-9730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENATOR",
"first_name": "JENNIFER",
"credential": "CNS, RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "653887",
"primary": false
},
{
"code": "364SP2800X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Perioperative",
"state": "CA",
"license": "4651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.