Healthcare Provider Details

I. General information

NPI: 1891609210
Provider Name (Legal Business Name): ARACELI JAMSHIDI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 ALTON PKWY
IRVINE CA
92618-3734
US

IV. Provider business mailing address

6650 ALTON PKWY
IRVINE CA
92618-3734
US

V. Phone/Fax

Practice location:
  • Phone: 949-932-2542
  • Fax: 949-932-6359
Mailing address:
  • Phone: 949-932-2542
  • Fax: 949-932-6359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number677590
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: