Angela J Carlson, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95011049 Issued in CA

Practice address

1401 Avocado Ave Ste 802
Newport Beach, CA 92660-7784

Phone

(949) 644-0970

Fax

(949) 644-0774

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1821558347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21442 FLEET LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467223",
            "telephone_number": "714-225-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 802",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607784",
            "telephone_number": "949-644-0970",
            "fax_number": "949-644-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95011049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts Play Therapy
• Leilani Jane Carinio, LMFT
• Carla Naragon, MFT
• Cameron M Carlen, M.D.
• Jean Nepomuceno Carlos, NP
• Gary Carlson, MD
• Lindsay Taylor Zotovich Carmack, PA-C
• Jessica Carmona
• Timothy Harry Carpenter, MD
• Remedios Carranza

• Pediatric Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.