Active NPI
Ester Cristobal Ardevela, N.P.
- Nurse Practitioner
- Corona, CA
National Provider Identifier
1821179565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13465
- Practice address
- 1820 Fullerton Ave
Suite 150
Corona, CA 92881-3160 - Phone
- (951) 736-6757
- Fax
- (951) 736-0167
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13465 | CA | Primary |
Addresses
Primary practice location
1820 Fullerton Ave
Suite 150
Corona, CA 92881-3160
Mailing address
4361 Latham St
Suite 150
Riverside, CA 92501-1730
Phone (951) 274-0888
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)
- Not enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821179565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4361 LATHAM ST",
"address_2": "SUITE 150",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011730",
"telephone_number": "951-274-0888",
"fax_number": "951-274-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 FULLERTON AVE",
"address_2": "SUITE 150",
"city": "CORONA",
"state": "CA",
"postal_code": "928813160",
"telephone_number": "951-736-6757",
"fax_number": "951-736-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDEVELA",
"first_name": "ESTER",
"middle_name": "CRISTOBAL",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "13465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.