Individual provider Active NPI

Angela Maria Bretton, FNP-BC

  • Family Nurse Practitioner
  • Vista, CA
National Provider Identifier
1750827895
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005149 Issued in CA
Practice address
2067 W Vista Way Ste 140
Vista, CA 92083-6032
Phone
(760) 941-4444
Fax
(760) 941-8902
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005149 CA Primary

Addresses

Primary practice location

2067 W Vista Way Ste 140
Vista, CA 92083-6032

Mailing address

2067 W Vista Way Ste 140
Vista, CA 92083-6032
Phone (760) 941-4444

Other practice location 1

318 W El Norte Pkwy
Escondido, CA 92026-1925
Phone (866) 389-2727

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Vista Health Information Exchange (HIE)

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
I20170203002092 CA Practitioner - Nurse Practitioner 3274816939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95005149CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Feb 13, 2017 Accepting new patients

Locations

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

318 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 489-1505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1750827895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 140",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836032",
            "telephone_number": "760-941-4444",
            "fax_number": "760-941-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 140",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836032",
            "telephone_number": "760-941-4444",
            "fax_number": "760-941-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 W El Norte Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920261925",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRETTON",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vista",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2067 W Vista Way Ste 140",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920836032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.