Individual provider Active NPI

Annabelle C. Touponce

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1861979361
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95013894 Issued in CA
Practice address
10815 Rancho Bernardo Rd Ste 370
San Diego, CA 92127-5707
Phone
(760) 610-0227
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 838719 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013894 CA Primary

Addresses

Primary practice location

10815 Rancho Bernardo Rd Ste 370
San Diego, CA 92127-5707

Mailing address

4225 Oceanside Blvd Ste H
Oceanside, CA 92056-3473
Phone (562) 427-3897

Other practice location 1

4201 Long Beach Blvd Ste 203
Long Beach, CA 90807-2020
Phone (562) 427-3897

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
I20200608000831 CA Practitioner - Nurse Practitioner 6406277078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleksandra Wirga, M.D., Inc.Group PAC ID 3072649722, 12 clinicians

Practice addresses (Care Compare)

3703 Long Beach Blvd
Suite 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
838719CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandra Wirga, M.D., Inc. CurrentSince May 1, 2020 Accepting new patients

Locations

3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897

4201 Long Beach Blvd
Ste 203
Long Beach, CA 90807
Phone (562) 427-3897

Organizations & group practices 1

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1861979361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 OCEANSIDE BLVD STE H",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563473",
            "telephone_number": "562-427-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 RANCHO BERNARDO RD STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275707",
            "telephone_number": "760-610-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Long Beach Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908072020",
            "country_code": "US",
            "telephone_number": "562-427-3897",
            "fax_number": "562-595-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOUPONCE",
        "first_name": "ANNABELLE",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "838719",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.