CHARLOTTE NORDSTROM
NPI 1558807107
Nurse Practitioner - Family in Tustin, CA

Active since January 06, 2017
661 W 1ST ST STE G, TUSTIN, CA 92780(714) 665-9890(714) 665-9891 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 19, 2023, May 5, 2023, Nov 8, 2021 and 2 more (5 updates tracked since 2017).

About Charlotte Nordstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE NORDSTROM (NPI 1558807107) is an individual family provider in Tustin, California, licensed in California (9500534) and active in the NPI registry since January 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558807107
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLOTTE NORDSTROM
Location Address661 W 1ST ST STE GTustin, CA 92780-2939
Mailing Address661 W 1st StTustin, CA 92780-2939 · (800) 597-7977
Fax(714) 665-9891
Sole ProprietorYes
Enumeration DateJanuary 6, 2017
Last NPPES UpdateMay 19, 20235 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1558807107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 9500534
661 W 1ST ST STE G, Tustin, CA 92780

Secondary Practice Locations 2

Location 111180 Warner Ave Ste 353Fountain Valley, CA 92708-7516 · Phone (714) 968-6789 · Fax (714) 202-2626
Location 29918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894

Other Identifiers 1

Other95005354CA · Board Of Registered Nursing

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
661 W 1ST ST STE G
TUSTIN, CA 92780
Physician Assistant
661 W 1ST ST STE G
TUSTIN, CA 92780
Nurse Practitioner (Family)
661 W 1ST ST STE G
TUSTIN, CA 92780
Obstetrics & Gynecology
661 W 1ST ST STE G
TUSTIN, CA 92780
Physician Assistant
661 W 1ST ST STE G
TUSTIN, CA 92780
Nurse Practitioner (Family)
661 W 1ST ST STE G
TUSTIN, CA 92780
Clinic/Center (Primary Care)
661 W 1ST ST STE G
TUSTIN, CA 92780
Nurse Practitioner
661 W 1ST ST STE G
TUSTIN, CA 92780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlotte Nordstrom's NPI number?

The NPI number for Charlotte Nordstrom is 1558807107. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Where is Charlotte Nordstrom located?

Charlotte Nordstrom practices at 661 W 1st St Ste G, Tustin, CA 92780. The listed phone number is (714) 665-9890.

What is Charlotte Nordstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charlotte Nordstrom was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.