Active NPI
Raciela B Austin, NP
- Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21958
- Practice address
- 3355 Michelson Dr Ste 490
Irvine, CA 92612 - Phone
- (949) 672-9900
- Fax
- (949) 526-8385
- NPI assigned
- Sep 12, 2012
- Last updated
- Aug 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21958 | CA | Primary |
| Registered Nurse | 163W00000X | 587759 | CA |
Addresses
Primary practice location
3355 Michelson Dr Ste 490
Irvine, CA 92612
Mailing address
3355 Michelson Dr Ste 490
Irvine, CA 92612-0685
Phone (949) 672-9900
Other practice location 1
1 Edwards Way
Irvine, CA 92614-5688
Phone (949) 250-3737
Other practice location 2
52 Discovery
Irvine, CA 92618-3105
Phone (949) 526-8390
Other practice location 3
8535 Contreras St
Paramount, CA 90723-3627
Phone (562) 408-1033
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 |
|---|---|---|---|
| 587759 | CA | MD | Registered Nurse |
| 21958 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Jude Hospital Yorba Linda | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba DRIVE Wellness Center
- Non-Pharmacy Dispensing Site
- Irvine, CA
- NPI 1306384375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1871843375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 MICHELSON DR STE 490",
"city": "IRVINE",
"state": "CA",
"postal_code": "926120685",
"telephone_number": "949-672-9900",
"fax_number": "949-526-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 MICHELSON DR STE 490",
"city": "IRVINE",
"state": "CA",
"postal_code": "92612",
"telephone_number": "949-672-9900",
"fax_number": "949-526-8385"
}
],
"practiceLocations": [
{
"address_1": "1 Edwards Way",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926145688",
"country_code": "US",
"telephone_number": "949-250-3737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52 Discovery",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926183105",
"country_code": "US",
"telephone_number": "949-526-8390",
"fax_number": "949-526-8391",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8535 Contreras St",
"address_purpose": "LOCATION",
"city": "Paramount",
"state": "CA",
"postal_code": "907233627",
"country_code": "US",
"telephone_number": "562-408-1033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "RACIELA",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "21958",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "587759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.