Healthcare Provider Details

I. General information

NPI: 1437522828
Provider Name (Legal Business Name): JANICE ENRIQUEZ CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16305 SAND CANYON AVE STE 275
IRVINE CA
92618-3791
US

IV. Provider business mailing address

2995 RED HILL AVE STE 200
COSTA MESA CA
92626-5984
US

V. Phone/Fax

Practice location:
  • Phone: 949-829-5533
  • Fax: 949-581-9158
Mailing address:
  • Phone: 949-829-5533
  • Fax: 949-581-9158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number9500332
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number235761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: