Gabriella Diedre Edwards

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95265400 Issued in CA

Practice address

265 S Anita Dr # 102-104
Orange, CA 92868-3355

Phone

(714) 410-3500

NPI assigned

Feb 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1891034427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR # 102-104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683355",
            "telephone_number": "714-410-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GABRIELLA",
        "middle_name": "DIEDRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95265400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynne Edson, OTR/L
• Eduardo Correa D.D.S., Inc
• Edward C. Kravitz, M.D., Incorporated
• Edward S Lee MD a Professional Corporation
• Elena Louise Edwards, CADCA
• Mitchell Ryan Edwards, D.O.
• Robert a Edwards, MD
• Edwin R Alexander MD Inc
• Shaina Shaya Eftekharian
• Sina Eftekharzadeh, DDS

• Psychiatric/Mental Health Registered Nurse in Orange, CA
• Providers in Orange, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.