Individual provider Active NPI

Pamela Ruma Taguines, FNP-BC

  • Family Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1912443524
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
566888 Issued in CA
Practice address
7755 Center Ave
Suite #630
Huntington Beach, CA 92647-3007
Phone
(310) 562-7257
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 566888 CA
Family Nurse Practitioner 363LF0000X 566888 CA Primary

Addresses

Primary practice location

7755 Center Ave
Suite #630
Huntington Beach, CA 92647-3007

Mailing address

25590 Prospect Ave Apt 21H
Loma Linda, CA 92354-3148
Phone (323) 336-7595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
566888CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1912443524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25590 PROSPECT AVE APT 21H",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543148",
            "telephone_number": "323-336-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE",
            "address_2": "SUITE #630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473007",
            "telephone_number": "310-562-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUINES",
        "first_name": "PAMELA",
        "middle_name": "RUMA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "566888",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "566888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.