Organization Active NPI

California Nursing Consultants

  • Family Medicine Physician
  • Corona, CA
National Provider Identifier
1891388286
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALIFORNIA NURSING CONSULTANTS
Practice address
812 Poppyseed LN
Corona, CA 92881-3527
Phone
(562) 290-3190
Fax
(951) 602-7812
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Ms. Holy Dove Quiboloy Paule, NPNPI 1891327565
Title
President/Ceo
Phone
(562) 290-3190

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

812 Poppyseed LN
Corona, CA 92881-3527

Mailing address

812 Poppyseed LN
Corona, CA 92881-3527
Phone (562) 290-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413002207 CA Part B Supplier - Clinic/Group Practice 3577971449 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1891388286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 POPPYSEED LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813527",
            "telephone_number": "562-290-3190",
            "fax_number": "951-602-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 POPPYSEED LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813527",
            "telephone_number": "562-290-3190",
            "fax_number": "951-602-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NURSING CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "PAULE",
        "authorized_official_first_name": "HOLY DOVE",
        "authorized_official_middle_name": "QUIBOLOY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-290-3190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.