Individual provider Active NPI

Candice Elizabeth Whealon, R.N., FNP-C

  • Nurse Practitioner
  • Orange, CA
National Provider Identifier
1790830404
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23718 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-8888
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 653544 CA
Family Nurse Practitioner 363LF0000X 23718 CA
Nurse Practitioner 363L00000X 23718 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776
Phone (805) 479-8503

Other practice location 1

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776
Phone (805) 479-8503

Other names 1

  • Miss Candice Elizabeth Zimmerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180810000993 NJ Practitioner - Nurse Practitioner 5991938318 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
653544CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Univeristy Emergency Physicians, PC CurrentSince Sep 7, 2018 Accepting new patients
University of California Irvine Current Accepting new patients
Regents of the University of CurrentSince Jul 1, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 23, 2019 Accepting new patients
Cooper Urgent Care, PC CurrentSince Sep 7, 2018 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 23, 2019 Accepting new patients
University of California Irvine CurrentSince Jul 1, 2020 Accepting new patients
Whealon Medical Corp Family Current Accepting new patients
University of California Irvine CurrentSince Jul 1, 2020 Accepting new patients
Regents of the University of CurrentSince Mar 1, 2022 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

11620 Wilshire Blvd
Ste 600
Los Angeles, CA 90025
Phone (310) 459-7736

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

Organizations & group practices 11

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1790830404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251776",
            "telephone_number": "805-479-8503",
            "fax_number": "310-362-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11620 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251776",
            "country_code": "US",
            "telephone_number": "805-479-8503",
            "fax_number": "310-362-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEALON",
        "first_name": "CANDICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "R.N., FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "653544",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23718",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "ZIMMERMAN",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.