Healthcare Provider Details

I. General information

NPI: 1881515245
Provider Name (Legal Business Name): MS. MADISON FRANCES CAPUL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E VALENCIA MESA DR STE 100
FULLERTON CA
92835-3816
US

IV. Provider business mailing address

12316 NEWGATE AVE
WHITTIER CA
90605-4223
US

V. Phone/Fax

Practice location:
  • Phone: 714-992-5581
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040689
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: