Individual provider Active NPI

Teresita Farol Nadres, NP

  • Family Nurse Practitioner
  • Diamond Bar, CA
National Provider Identifier
1801597398
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023580 Issued in CA
Practice address
23065 Paseo de Terrado Unit 2
Diamond Bar, CA 91765-2294
Phone
(858) 408-5372
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 95023580 CA Primary

Addresses

Primary practice location

23065 Paseo de Terrado Unit 2
Diamond Bar, CA 91765-2294

Mailing address

23065 Paseo de Terrado Unit 2
Diamond Bar, CA 91765-2294
Phone (858) 408-5372

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
I20230501000814 CA Practitioner - Nurse Practitioner 2062877848 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 9, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 9, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: tnadres14482@direct-prd.molinahealthcare.com

Organizations & group practices 3

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1801597398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23065 PASEO DE TERRADO UNIT 2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652294",
            "telephone_number": "858-408-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23065 PASEO DE TERRADO UNIT 2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652294",
            "telephone_number": "858-408-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADRES",
        "first_name": "TERESITA",
        "middle_name": "FAROL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.