Active NPI
Jo-Ann Orsillo Eastwood, PHD, RN,CCNS,CCRN
- Critical Care Medicine Registered Nurse
- Los Angeles, CA
National Provider Identifier
1003992942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 232442
- Practice address
- 4-940 UCLA School of Nursing Factor
700 Tiverton Blvd.Box 956918
Los Angeles, CA 90095-6918 - Phone
- (310) 206-3443
- Fax
- (310) 794-7482
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 232442 | CA | Primary |
Addresses
Primary practice location
4-940 UCLA School of Nursing Factor
700 Tiverton Blvd.Box 956918
Los Angeles, CA 90095-6918
Mailing address
1712 Faymont Ave
Manhattan Beach, CA 90266-4212
Phone (310) 206-3443
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
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232442 | CA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003992942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 FAYMONT AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664212",
"telephone_number": "310-206-3443",
"fax_number": "310-794-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-940 UCLA SCHOOL OF NURSING FACTOR",
"address_2": "700 TIVERTON BLVD.BOX 956918",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900956918",
"telephone_number": "310-206-3443",
"fax_number": "310-794-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTWOOD",
"first_name": "JO-ANN",
"middle_name": "ORSILLO",
"name_prefix": "Ms.",
"credential": "PHD, RN,CCNS,CCRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "232442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.