Healthcare Provider Details

I. General information

NPI: 1043533110
Provider Name (Legal Business Name): MARGARET ANN DELMASTRO RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 12/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W STEWART DR
ORANGE CA
92868-3849
US

IV. Provider business mailing address

14692 BUCKINGHAM PL
TUSTIN CA
92780-6615
US

V. Phone/Fax

Practice location:
  • Phone: 714-734-6268
  • Fax: 714-734-6231
Mailing address:
  • Phone: 714-734-6268
  • Fax: 714-734-6231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221014
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number221014
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: