Individual provider Active NPI

Belen Mayela Sarwacinski, APRN,BC

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1730394990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11952 Issued in CA
Practice address
13176 Calle de Los Ninos
San Diego, CA 92129-2919
Phone
(619) 421-4257
Fax
(619) 421-6913
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11952 CA Primary

Addresses

Primary practice location

13176 Calle de Los Ninos
San Diego, CA 92129-2919

Mailing address

13176 Calle de Los Ninos
1415 Ridgeback Road #4
Chula Vista, CA 91910-0000
Phone (619) 461-4257

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
I20150121000966 CA Practitioner - Nurse Practitioner 6305160433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Preventive Medical Center of Chula Vista a Medical Corporatio CurrentSince Oct 26, 2014 Accepting new patients
Family and Preventiive Medical Center Past Accepting new patients

Locations

1415 Ridgeback Rd
Ste 4
Chula Vista, CA 91910
Phone (619) 421-4257

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730394990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 CALLE DE LOS NINOS",
            "address_2": "1415 RIDGEBACK ROAD #4",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919100000",
            "telephone_number": "619-461-4257",
            "fax_number": "619-421-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 CALLE DE LOS NINOS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292919",
            "telephone_number": "619-421-4257",
            "fax_number": "619-421-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARWACINSKI",
        "first_name": "BELEN",
        "middle_name": "MAYELA",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.