ELIZABETH ANN CUSTODIO (NPI# 1568071660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568071660 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN CUSTODIO |
| Credential | NP-C |
| Practice Address |
170 S Main St Orange CA 92868-2801 |
| Mailing Address |
38919 Huddlestone Ct Murrieta CA 92563-2589 |
| Practice Telephone | 7142887651 |
| Mailing Telephone | 9518946484 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95010582 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376041004 | Elizabeth Rosemund Custodio | Massage Therapist | 2103 147th Street Ct E, Tacoma, WA 98445-6014 | 2018-01-29 |
| Street Address |
170 S MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124065891 | Jonathan Thomas Megerian | Pediatrics | 170 S Main St, Orange, CA 92868-2801 | 2006-06-01 |
| 1063044683 | Eric Hideyuki Ishijima | Behavioral Analyst | 170 S Main St, Orange, CA 92868-2801 | 2020-02-11 |
| 1659918852 | Children's Hospital of Orange County | Psychiatry & Neurology | 170 S Main St, Orange, CA 92868-2801 | 2019-12-06 |
| 1477780013 | Butani Pain Clinic Inc | Psychiatry & Neurology | 170 S Main St, Suite 200, Orange, CA 92868-2801 | 2009-06-22 |
| 1568699106 | Butani Dermatology Inc | Dermatology | 170 S Main St, Suite 200, Orange, CA 92868-2801 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1619532546 | Shauna Ann Nelson | Nurse Practitioner | 886 S Ponderosa St, Orange, CA 92866-3431 | 2019-05-06 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1073742920 | Shawn Eric Allison | Nurse Practitioner | 628 Azalea Ave, Orange, TX 77630-4514 | 2009-07-13 |
| 1952557191 | April Ruth Barrio | Nurse Practitioner | 501 City Drive South, Health Care Agency, Orange, CA 92868-3390 | 2008-08-07 |
| 1225113293 | Mahnaz Baradar | Nurse Practitioner | 845 W La Veta Ave Ste 105, Orange, CA 92868-3930 | 2006-10-26 |
| 1417053026 | Aiping Dai | Nurse Practitioner | 1310 W Stewart Dr Ste 610, Orange, CA 92868-3857 | 2006-09-15 |
| 1447295001 | Kathleen Doan | Nurse Practitioner | 331 The City Dr S, Orange, CA 92868-3205 | 2006-06-18 |
| 1003866195 | Elizabeth Cuevas | Nurse Practitioner | 2607 Western Ave, Orange, TX 77630-6133 | 2006-05-11 |
| 1548219876 | Reatha Jeannette Bradberry I | Nurse Practitioner | 3838 W Park Ave, Orange, TX 77630-1812 | 2006-05-05 |
| 1982244752 | Aimie Angeletti | Nurse Practitioner | 477 Boston Post Rd Ste 2e, Orange, CT 06477-3548 | 2020-01-09 |
| Find all providers in ORANGE | ||||
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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.