Active NPI
Suzanne Videon, RN
- Registered Nurse
- Temecula, CA
National Provider Identifier
1740604727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0000072300
- Practice address
- 34022 Temecula Creek Rd
Temecula, CA 92592-5646 - Phone
- (615) 969-8383
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 163W00000X | 0000072300 | CA | Primary |
| Registered Nurse | 163W00000X | 0000072300 | TN |
Addresses
Primary practice location
34022 Temecula Creek Rd
Temecula, CA 92592-5646
Mailing address
7392 Volclay Dr
San Diego, CA 92119-1605
Phone (615) 969-8383
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000072300 | CA | MD | Registered Nurse |
| 0000072300 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1740604727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7392 VOLCLAY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191605",
"telephone_number": "615-969-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34022 TEMECULA CREEK RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925646",
"telephone_number": "615-969-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDEON",
"first_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "0000072300",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000072300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.