Organization Active NPI

Reliacare Inc

  • Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1881239341
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RELIACARE INC
Practice address
710 N Euclid St
Anaheim, CA 92801-4122
Phone
(626) 297-9616
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Marisa Desilva, NP-CNPI 1083815229
Title
President
Phone
(626) 297-9616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

710 N Euclid St
Anaheim, CA 92801-4122

Mailing address

45 Granada
Irvine, CA 92602-1649

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marisa.desilva@prospectmedical.com Prospect Medical Group

National Provider Directory

National Provider Directory

Locations

600 City Pkwy W
Orange, CA 92868
Phone (562) 248-4240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1881239341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GRANADA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014122",
            "telephone_number": "626-297-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-297-9616",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisa.desilva@prospectmedical.com",
            "affiliation": "Y",
            "affiliationName": "Prospect Medical Group",
            "address_1": "600 City Pkwy W",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928682968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.