Individual provider · Type 1 NPI

Irene Ontiveros, MSN, RN, CPNP-PC

Pediatric Nurse Practitioner · San Fernando, CA

NPI number 1275408064 Active

Practice location

1600 San Fernando Rd
San Fernando, CA 91340-3115

Mailing address

25713 Via Lomas Apt 1
Laguna Hills, CA 92653-1061

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X95034741 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1275408064

Irene Ontiveros, MSN, RN, CPNP-PC's National Provider Identifier is 1275408064, issued on Oct 9, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Fernando, CA. The record was last updated on Oct 24, 2025.