Individual provider Active NPI

Patricia Rosine Kovalcheck, N.P.

  • Primary Care Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1922265651
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
271341 Issued in CA
Practice address
1419 Superior Ave
Suite 1
Newport Beach, CA 92663-2723
Phone
(949) 650-0587
Fax
(949) 631-8155
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 271341 CA Primary

Addresses

Primary practice location

1419 Superior Ave
Suite 1
Newport Beach, CA 92663-2723

Mailing address

PO Box 2343
Newport Beach, CA 92659-1343
Phone (949) 642-1488

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
271341CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1922265651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2343",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926591343",
            "telephone_number": "949-642-1488",
            "fax_number": "949-631-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SUPERIOR AVE",
            "address_2": "SUITE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632723",
            "telephone_number": "949-650-0587",
            "fax_number": "949-631-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALCHECK",
        "first_name": "PATRICIA",
        "middle_name": "ROSINE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "271341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.