Individual provider Active NPI

Charisse Sepulveda Yenko

  • Emergency Registered Nurse
  • Monterey, CA
National Provider Identifier
1861884884
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
564776 Issued in CA
Practice address
1101 Del Monte Ave
Apt. G
Monterey, CA 93940-2440
Phone
(818) 404-8818
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 564776 CA Primary

Addresses

Primary practice location

1101 Del Monte Ave
Apt. G
Monterey, CA 93940-2440

Mailing address

1101 Del Monte Ave
Apt. G
Monterey, CA 93940-2440
Phone (818) 404-8818

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

State licenses

LicenseStateTypeSpecialty
564776CAMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1861884884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DEL MONTE AVE",
            "address_2": "APT. G",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402440",
            "telephone_number": "818-404-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DEL MONTE AVE",
            "address_2": "APT. G",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402440",
            "telephone_number": "818-404-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENKO",
        "first_name": "CHARISSE",
        "middle_name": "SEPULVEDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "564776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.