Healthcare Provider Details

I. General information

NPI: 1851276257
Provider Name (Legal Business Name): NADINE BISHAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 MAIN ST
YORBA LINDA CA
92886-3413
US

IV. Provider business mailing address

5360 VIA SEVILLA
YORBA LINDA CA
92887-3131
US

V. Phone/Fax

Practice location:
  • Phone: 714-779-5700
  • Fax:
Mailing address:
  • Phone: 949-302-7124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035849
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: