Individual provider Active NPI

Jesus Munoz

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1831943141
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028913 Issued in CA
Practice address
1 Jenner Ste 210
Irvine, CA 92618-3844
Phone
(714) 206-5201
NPI assigned
Apr 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028913 CA Primary

Addresses

Primary practice location

1 Jenner Ste 210
Irvine, CA 92618-3844

Mailing address

802 E Occidental St
Santa Ana, CA 92707-2350
Phone (714) 206-5201

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
I20251008000897 CA Practitioner - Nurse Practitioner 4880191725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A R Suzuki MD a Professional CorporationGroup PAC ID 1456857523, 2 clinicians

Practice addresses (Care Compare)

1 Jenner
Suite 210
Irvine, CA 92618-3844
Phone (714) 867-7037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A R Suzuki MD a Professional Corporation CurrentSince Jul 17, 2025 Accepting new patients
Alejandra R. Suzuki, M.D. a Professional Corporation CurrentSince Apr 28, 2024 Accepting new patients

Locations

1 Jenner
Ste 210
Irvine, CA 92618
Phone (714) 206-5201

Organizations & group practices 2

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1831943141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E OCCIDENTAL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072350",
            "telephone_number": "714-206-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JENNER STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183844",
            "telephone_number": "714-206-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.