Individual provider Active NPI

Jo-Ann Orsillo Eastwood, PHD, RN,CCNS,CCRN

  • Critical Care Medicine Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1003992942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
232442 Issued in CA
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
232442CAMDCritical 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": []
}

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 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.

Verify at the official NPI Registry.