Active NPI
Larissa Todd
- Family Nurse Practitioner
- Aliso Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 95004416
- Practice address
- 26891 Aliso Creek Rd
Aliso Viejo, CA 92656-3392 - Phone
- (949) 360-4081
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 95004416 | CA | Primary |
Addresses
Primary practice location
26891 Aliso Creek Rd
Aliso Viejo, CA 92656-3392
Mailing address
File 50670
Los Angeles, CA 90074-0670
Phone (888) 227-3312
Other practice location 1
26800 Crown Valley Pkwy Ste 315
Mission Viejo, CA 92691-8039
Phone (949) 364-6000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ltodd1524596@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 95004416 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| American Current Care, PA | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Telehealth Services USA | Past | Accepting new patients |
Locations
25612 Crown Valley Pkwy
Ste L-5
Ladera Ranch, CA 92694
Phone (818) 847-6812
File 50670
Los Angeles, CA 90074
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
4015 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 837-6447
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1922651561
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1891979712
-
- Pediatrics Physician
- Truckee, CA
- NPI 1275035263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1013360106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 50670",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740670",
"telephone_number": "888-227-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26891 ALISO CREEK RD",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563392",
"telephone_number": "949-360-4081"
}
],
"practiceLocations": [
{
"address_1": "26800 Crown Valley Pkwy Ste 315",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926918039",
"country_code": "US",
"telephone_number": "949-364-6000",
"fax_number": "949-364-1204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "LARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 95004416",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltodd1524596@oc.providencedirect.org",
"affiliation": "N",
"address_1": "25612 Crown Valley Pkwy Ste L-5",
"city": "Ladera Ranch",
"state": "CA",
"country_code": "US",
"postal_code": "926940476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.