Individual provider Active NPI

Leslie Ann Jansen, RNFA

  • Registered Nurse First Assistant
  • Mission Viejo, CA
National Provider Identifier
1992726715
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
556500 Issued in CA
Practice address
26651 Las Tunas Dr
Mission Viejo, CA 92692-3934
Phone
(949) 395-6661
Fax
(949) 383-4808
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 556500 CA Primary

Addresses

Primary practice location

26651 Las Tunas Dr
Mission Viejo, CA 92692-3934

Mailing address

26651 Las Tunas Dr
Mission Viejo, CA 92692-3934
Phone (949) 395-6661

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

State licenses

LicenseStateTypeSpecialty
556500CAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Assistant Nurses Registered Nurse First Assistant CurrentSince Feb 19, 2023 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.

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": "1524700800000",
    "number": "1992726715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26651 LAS TUNAS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923934",
            "telephone_number": "949-395-6661",
            "fax_number": "949-383-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26651 LAS TUNAS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923934",
            "telephone_number": "949-395-6661",
            "fax_number": "949-383-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "556500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.