Individual provider Active NPI

Christina Demarinis, NP

  • Family Nurse Practitioner
  • Costa Mesa, CA
National Provider Identifier
1861094815
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015921 Issued in CA
Practice address
660 Baker St Ste A102
Costa Mesa, CA 92626-4407
Phone
(714) 668-2505
Fax
(714) 668-2515
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 95015921 CA Primary

Addresses

Primary practice location

660 Baker St Ste A102
Costa Mesa, CA 92626-4407

Mailing address

PO Box 2218
Suisun City, CA 94585-5218
Phone (657) 241-3600

Other practice location 1

18785 Brookhurst St Ste 101
Fountain Valley, CA 92708-7300
Phone (714) 378-0042

Other practice location 2

4950 Barranca Pkwy Ste 104
Irvine, CA 92604-8644
Phone (949) 857-1248

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
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1861094815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2218",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945855218",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BAKER ST STE A102",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264407",
            "telephone_number": "714-668-2505",
            "fax_number": "714-668-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18785 Brookhurst St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087300",
            "country_code": "US",
            "telephone_number": "714-378-0042",
            "fax_number": "714-968-9129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 Barranca Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926048644",
            "country_code": "US",
            "telephone_number": "949-857-1248",
            "fax_number": "949-559-1165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARINIS",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.