Individual provider Active NPI

Carmen Huerta, NP-C

  • Clinical Nurse Specialist
  • Murrieta, CA
National Provider Identifier
1871910950
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
617136 Issued in CA
Practice address
25405 Hancock Ave Ste 200
Murrieta, CA 92562-5978
Phone
(951) 200-2090
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9234798 FL
Clinical Nurse Specialist 364S00000X 617136 CA Primary

Addresses

Primary practice location

25405 Hancock Ave Ste 200
Murrieta, CA 92562-5978

Mailing address

25405 Hancock Ave Ste 200
Murrieta, CA 92562-5978
Phone (951) 200-2090

Other practice location 1

1886 W Hillsboro Blvd
Deerfield Beach, FL 33442-1417
Phone (954) 428-3500

Other practice location 2

3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 828-9128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140514002165 FL Practitioner - Nurse Practitioner 2860615143
I20151029001711 CA Practitioner - Nurse Practitioner 2860615143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

850 E Latham Ave
Suite 201
Hemet, CA 92543-4391
Phone (951) 521-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9234798FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists Inc CurrentSince Aug 15, 2016 Accepting new patients
Pacific Dermatology Institute CurrentSince Jan 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
North Broward Hospital District Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

770 Magnolia Ave
Ste 1H
Corona, CA 92879
Phone (951) 549-9696

850 E Latham Ave
Ste 201
Hemet, CA 92543
Phone (951) 521-2800

25495 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 304-7546

25405 Hancock Ave
Ste 200
Murrieta, CA 92562
Phone (909) 698-7720

3629 Vista Way
Oceanside, CA 92056
Phone (760) 757-7546

255 Terracina Blvd
Ste 205C
Redlands, CA 92373
Phone (909) 793-2323

1200 California St
Ste 210
Redlands, CA 92374
Phone (909) 693-3424

9041 Magnolia Ave
Ste 206
Riverside, CA 92503
Phone (951) 354-0676

1666 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (888) 700-0881

530 Lomas Santa Fe Dr
Solana Beach, CA 92075
Phone (619) 724-7171

44605 Avenida de Missiones
Ste 202
Temecula, CA 92592
Phone (951) 446-1999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1871910950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625978",
            "telephone_number": "951-200-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625978",
            "telephone_number": "951-200-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1886 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421417",
            "country_code": "US",
            "telephone_number": "954-428-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3629 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564522",
            "country_code": "US",
            "telephone_number": "760-828-9128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "CARMEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9234798",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "617136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.