Active NPI
Janett Amanda Hildebrand, NP
- Family Nurse Practitioner
- Orange, CA
National Provider Identifier
1861585143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 388794
- Practice address
- 363 S Main St
Suite 204
Orange, CA 92868-3833 - Phone
- (714) 744-8801
- Fax
- (714) 744-8629
- NPI assigned
- Oct 1, 2006
- Last updated
- May 31, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 388794 | CA | Primary |
Addresses
Primary practice location
363 S Main St
Suite 204
Orange, CA 92868-3833
Mailing address
1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911
Other practice location 1
1206 E 17th St Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12972 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital of Orange | Past | Accepting new patients | |
| St. Jude Neighborhood Health Centers | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Puente A La Salud Mobile Clinics
- Migrant Health Clinic/Center
- Orange, CA
- NPI 1790994259
-
dba Puente A La Salud Dental Clinic
- Dental Clinic/Center
- Fullerton, CA
- NPI 1861898991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1861585143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 E 17TH ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012641",
"telephone_number": "714-352-2911",
"fax_number": "714-380-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 S MAIN ST",
"address_2": "SUITE 204",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683833",
"telephone_number": "714-744-8801",
"fax_number": "714-744-8629"
}
],
"practiceLocations": [
{
"address_1": "1206 E 17th St Ste 101",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927012641",
"country_code": "US",
"telephone_number": "714-352-2911",
"fax_number": "714-380-6235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "JANETT",
"middle_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "388794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.