Active NPI
John Frederick Powell, RN
- Registered Nurse
- Los Angeles, CA
National Provider Identifier
1003789462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 830095
- Practice address
- 1724 N Highland Ave
Los Angeles, CA 90028-4400 - Phone
- (818) 298-3167
- NPI assigned
- Sep 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 830095 | CA | Primary |
Addresses
Primary practice location
1724 N Highland Ave
Los Angeles, CA 90028-4400
Mailing address
1724 N Highland Ave
Los Angeles, CA 90028-4400
Phone (818) 298-3167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830095 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1003789462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 N HIGHLAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284400",
"telephone_number": "818-298-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 N HIGHLAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284400",
"telephone_number": "818-298-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "830095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.