Carasquero Nursing Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CARASQUERO NURSING INC

Practice address

29839 Santa Margarita Pkwy Ste 100
Rancho Santa Margarita, CA 92688-3616

Phone

(949) 229-1386

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Carasquero, NPNPI 1912455122

Title

President

Phone

(480) 252-6093

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Carasquero, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aliso Viejo, CA
  • NPI 1912455122

  Adult Health

  Medicare reassignment NPD Authorized official
• Yen Anker, NP

  • Nurse Practitioner
  • Aliso Viejo, CA
  • NPI 1104273309
  Medicare reassignment NPD
• Anil Khurana, F.N.P

  • Family Nurse Practitioner
  • Downey, CA
  • NPI 1871807933

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Marla Faith Maciel, L.C.S.W.

  • Behavior Analyst
  • Lake Forest, CA
  • NPI 1952694580
  Medicare reassignment NPD
• James Reginald Harris, LMFT

  • Marriage & Family Therapist
  • Laguna Niguel, CA
  • NPI 1407948557
  NPD (past)
• Shala Shardil, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1396339362
  NPD (past)
• Warren Russell Taff, MD

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1861613481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570838400000",
    "number": "1740848381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27472 PORTOLA PKWY STE 205-165",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102853",
            "telephone_number": "602-388-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883616",
            "telephone_number": "949-229-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARASQUERO NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-10-12",
        "status": "A",
        "authorized_official_last_name": "CARASQUERO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-252-6093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caltec Medical LLC
• Lauren Canchola, NP-C
• Capsychdr-a Psychological Corporation
• Mackenzie Carcamo, COTA/L
• Claire Cardenas, MS CCC-SLP
• Gabriela Carey-Zuniga
• Sylvia Olivia Carlos, DDS
• Kimberly Hsu Carter, D.M.D.

• Psychiatric/Mental Health Nurse Practitioner in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.