Active NPI
Marjorie Abrenilla Delos Angeles
- Community Health Worker
- Brea, CA
National Provider Identifier
1801920673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 34591
- Practice address
- 875 N Brea Blvd
Brea, CA 92821-2606 - Phone
- (714) 672-7229
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 05008642A | IN | |
| Community Health Worker | 172V00000X | 34591 | CA | Primary |
Addresses
Primary practice location
875 N Brea Blvd
Brea, CA 92821-2606
Mailing address
875 N Brea Blvd
Brea, CA 92821-2606
Phone (714) 672-7229
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008642A | IN | MD | Contractor |
| 34591 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1801920673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 N BREA BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "928212606",
"telephone_number": "714-672-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 N BREA BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "928212606",
"telephone_number": "714-672-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOS ANGELES",
"first_name": "MARJORIE",
"middle_name": "ABRENILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IN",
"license": "05008642A",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "34591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.