MS. JUDY ANN PICAZO (NPI# 1093866543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093866543 |
| Entity Type | Individual |
| Full Name | MS. JUDY ANN PICAZO |
| Credential | N.P. |
| Practice Address |
1665 Scenic Ave #100 Costa Mesa CA 92626-1445 |
| Practice Telephone | 7144364444 |
| Mailing Telephone | 7144364444 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R.N. 631428 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1665 SCENIC AVE #100 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759005 | Talbert Medical Group | Health Maintenance Organization | 1665 Scenic Ave, Ste 100, Costa Mesa, CA 92626-1443 | 2005-06-10 |
| 1306267026 | Ronnie Alas | Internal Medicine | 1665 Scenic Ave, Costa Mesa, CA 92626-1445 | 2013-12-23 |
| 1275859233 | Thuyvan Lam Nguyen | Internal Medicine | 1665 Scenic Ave, Suite 100, Costa Mesa, CA 92626-1443 | 2010-04-15 |
| 1740413681 | Elizabeth Thu Pham | Internal Medicine | 1665 Scenic Ave, Costa Mesa, CA 92626-1445 | 2009-08-26 |
| 1265671473 | Stephanie M Kusser | Registered Nurse | 1665 Scenic Ave, Costa Mesa, CA 92626-1445 | 2009-02-11 |
| 1508956871 | Butch Lawrence Froberg | Social Worker | 1665 Scenic Ave, Ste. 100, Costa Mesa, CA 92626-1445 | 2006-10-14 |
| 1073613675 | Aparna S Akolkav | Internal Medicine | 1665 Scenic Ave, Ste 100, Costa Mesa, CA 92626 | 2006-09-24 |
| 1053358044 | Suzanne Clara Larkin | Nurse Practitioner | 1665 Scenic Ave, Costa Mesa, CA 92626-1445 | 2006-05-31 |
| 1063477081 | Narges Jelodari | Pediatrics | 1665 Scenic Ave, Ste 100 Talbert Medical Group, Costa Mesa, CA 92626 | 2006-04-20 |
| 1639145014 | Robert E Riechmann IIi | Legal Medicine | 1665 Scenic Ave, Ste 100, Costa Mesa, CA 92626 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937512 | Brandy Casey | Nurse Practitioner | 1565 Adams Ave Ste 12, Costa Mesa, CA 92626-3814 | 2019-02-05 |
| 1073011193 | Rachel Renee Cliser | Nurse Practitioner | 188 E 17th St Ste 101, Costa Mesa, CA 92627-3702 | 2018-01-23 |
| 1265951727 | Keri Cavallo | Nurse Practitioner | 2200 Harbor Blvd Ste B220, Costa Mesa, CA 92627-5897 | 2017-09-15 |
| 1013579952 | Alexandra E Kocher | Nurse Practitioner | 1190 Baker St Ste 100, Costa Mesa, CA 92626-4105 | 2019-07-01 |
| 1023425352 | Judith Rivera | Nurse Practitioner | 600 Anton Blvd Fl 11, Costa Mesa, CA 92626-7100 | 2014-07-18 |
| 1558799767 | Patricia Merchent | Nurse Practitioner | 700 W 19th St, Costa Mesa, CA 92627-3517 | 2013-10-25 |
| 1043657547 | Yvette Alfelor Elpidio | Nurse Practitioner | 3151 Airway Ave, T-3, Costa Mesa, CA 92626-4627 | 2013-05-24 |
| 1821239666 | Barbara Lynn Holecek | Nurse Practitioner | 1665 Scenic Ave Ste 100, Costa Mesa, CA 92626-1443 | 2009-03-06 |
| 1518158831 | Mary Jane Pageau | Nurse Practitioner | 3505 Cadillac Ave, Bldg O, Suite 110, Costa Mesa, CA 92626-1429 | 2007-08-05 |
| 1932255221 | Donna Ball | Nurse Practitioner | 700 W 19th St, Costa Mesa, CA 92627-3517 | 2007-01-27 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.