Individual provider Active NPI

Raciela B Austin, NP

  • Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1871843375
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21958 Issued in CA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
587759CAMDRegistered Nurse
21958CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Jude Hospital Yorba Linda PastSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.