ASHA JENISE WILBORN NP NPI 1548565740

NPI Information

NPI: 1548565740
Provider Name: ASHA JENISE WILBORN, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PROVIDENCE MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
1310 W STEWART DR STE 410
ORANGE, CA
ZIP 92868
Phone: (714) 639-9401
Get Directions

Asha Jenise Wilborn, NP is an adult health nurse practitioner in Orange, CA with 14 years of experience. Asha Jenise Wilborn, NP NPI is 1548565740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1310 W STEWART DR STE 410
ORANGE, CA
ZIP 92868-855
Phone: (714) 639-9401
Fax: (714) 639-4105

The NPI 1548565740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 2/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		625834	CALIFORNIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	20529	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	625834	OTHER	CALIFORNIA	RN LICENSE NUMBER
2	69334	OTHER	CALIFORNIA	PUBLIC HEALTH NURSE LICENSE NUMBER
3	20529	OTHER	CALIFORNIA	NURSE PRACTITIONER LICENSE NUMBER
4	P01064753	OTHER	CALIFORNIA	RAILROAD MEDICARE
5	1912919804	OTHER		TYPE 2 NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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