Angelica Delallana, MSN, APRN, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

748043 Issued in CA

Practice address

803 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2145

Phone

(310) 605-4800

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: delallana.angelica@denovohcc.directbygreenway.com

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.

• De Novo Health Care Inc

  • Community/Behavioral Health Agency
  • East Rancho Dominguez, CA
  • NPI 1972752368
  Medicare reassignment NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1033754155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212145",
            "telephone_number": "310-605-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELALLANA",
        "first_name": "ANGELICA",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "748043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clinic",
            "affiliation": "N",
            "address_1": "803 E Rosecrans Ave",
            "city": "East Rancho Dominguez",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902212145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cecilia Cudiamat, PA-C
• Daniel Matemotja, MD Inc
• Jayden Davila, BSN, RN
• Leslie Guadalupe De la Cruz-Trejo
• De Novo Health Care Inc
• Bradlisia Dixon
• Gerardo Espitia
• Larrisa Breanne Gonzales
• Meliza Guillermo Alonzo
• Intra RX Drugs

• Family Medicine Physician in East Rancho Dominguez, CA
• Providers in East Rancho Dominguez, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.

Verify at the official NPI Registry.