Organization Active NPI

Norcal Registered Nursing Practitioner Services, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1902629538
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NORCAL REGISTERED NURSING PRACTITIONER SERVICES, INC.
Practice address
1120 Silverado St Ste 203
La Jolla, CA 92037-4524
Phone
(916) 545-2600
Fax
(916) 545-2601
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Molly McKeenNPI 1457775769
Title
Owner
Phone
(619) 610-8472

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1120 Silverado St Ste 203
La Jolla, CA 92037-4524

Mailing address

1120 Silverado St Ste 203
La Jolla, CA 92037-4524
Phone (916) 545-2600

National Provider Directory

National Provider Directory

Locations

1120 Silverado St
Ste 203
La Jolla, CA 92037
Phone (858) 412-5141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1902629538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SILVERADO ST STE 203",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374524",
            "telephone_number": "916-545-2600",
            "fax_number": "916-545-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SILVERADO ST STE 203",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374524",
            "telephone_number": "916-545-2600",
            "fax_number": "916-545-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL REGISTERED NURSING PRACTITIONER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "MCKEEN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-610-8472"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.