Individual provider Active NPI

Natalie Lina Angulo, FNP-BC

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1023620341
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012365 Issued in CA
Practice address
3533 W Pico Blvd
Los Angeles, CA 90019-4534
Phone
(323) 734-1600
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012365 CA Primary

Addresses

Primary practice location

3533 W Pico Blvd
Los Angeles, CA 90019-4534

Mailing address

12373 Heritage Springs Dr
Santa Fe Springs, CA 90670-3851
Phone (626) 485-8216

Other names 1

  • Natalie Lina Ontiveros Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804002893 CA Practitioner - Nurse Practitioner 6709280340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolence Industries Incorporated CurrentSince May 26, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 5, 2022 Accepting new patients
Benevolence Industries Incorporated Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 5, 2022 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

3533 W Pico Blvd
Los Angeles, CA 90019
Phone (323) 732-6999

3631 Crenshaw Blvd
Ste 109
Los Angeles, CA 90016
Phone (310) 800-7963

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

1010 Crenshaw Blvd
Ste 100
Torrance, CA 90501

Interoperability endpoints

  • Direct secure messaging: natalie.angulo.p33@direct.monarchhealthcare.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFBCA

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1023620341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12373 HERITAGE SPRINGS DR",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703851",
            "telephone_number": "626-485-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194534",
            "telephone_number": "323-734-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO",
        "first_name": "NATALIE",
        "middle_name": "LINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "ONTIVEROS",
            "middle_name": "LINA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.