Active NPI
Maureen Kittner Haske Palomino, NP
- Critical Care Medicine Nurse Practitioner
- Irvine, CA
National Provider Identifier
1962423640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- NP9289
- Practice address
- 100 Irvine Hall
Irvine, CA 92697-4275 - Phone
- (949) 824-7992
- Fax
- (949) 824-3135
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | NP9289 | CA | Primary |
Addresses
Primary practice location
100 Irvine Hall
Irvine, CA 92697-4275
Mailing address
2640 Vista del Oro
Newport Beach, CA 92660-3506
Phone (949) 200-7482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NP92890 | Other | CA | MEDICAL PPIN # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP9289 | CA | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Claifornia Univ Neursciences | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Orange, CA
- NPI 1205884210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1962423640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 VISTA DEL ORO",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603506",
"telephone_number": "949-200-7482",
"fax_number": "949-824-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 IRVINE HALL",
"city": "IRVINE",
"state": "CA",
"postal_code": "926974275",
"telephone_number": "949-824-7992",
"fax_number": "949-824-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKE PALOMINO",
"first_name": "MAUREEN",
"middle_name": "KITTNER",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CA",
"license": "NP9289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PPIN #",
"identifier": "00NP92890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.