CINDY ILLESCAS FNP NPI 1720449358

NPI Information

NPI: 1720449358
Provider Name: CINDY ILLESCAS, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: REGENTS OF THE UNIVERSITY OF

PECOS Registration: Yes

Address:
333 CITY BLVD W
SUITE 640
ORANGE, CA
ZIP 92868
Phone: (714) 456-2277
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Cindy Illescas, FNP is a psychiatric/mental health nurse practitioner in Orange, CA with 10 years of experience. Cindy Illescas, FNP NPI is 1720449358. 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:

333 CITY BLVD W
SUITE 640
ORANGE, CA
ZIP 92868-903
Phone: (714) 456-2277

The NPI 1720449358 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 3/9/2016 and was last updated on 12/8/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2018015179	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	95002098	CALIFORNIA	No

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	95002098	OTHER	CALIFORNIA	FURNISHING NUMBER
2	826189	OTHER	CALIFORNIA	RN
3	95002098	OTHER	CALIFORNIA	NURSE PRACTITIONER

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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