ANDREA CARASQUERO NP NPI 1912455122

NPI Information

NPI: 1912455122
Provider Name: ANDREA CARASQUERO, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
11 MAREBLU STE 220F
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 229-1386
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Andrea Carasquero, NP is a psychiatric/mental health nurse practitioner in Aliso Viejo, CA with 12 years of experience. Andrea Carasquero, NP NPI is 1912455122. 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:

11 MAREBLU STE 220F
ALISO VIEJO, CA
ZIP 92656-044
Phone: (949) 229-1386

The NPI 1912455122 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 9/16/2016 and was last updated on 3/5/2022.

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	363L00000X	Nurse Practitioner		95004612	CALIFORNIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	95004612	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95004612	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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