Angelic Andrada, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017442 Issued in CA

Practice address

3680 Wilshire Blvd Ste P041778
Los Angeles, CA 90010-2707

Phone

(424) 448-6261

NPI assigned

May 28, 2021

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

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelic.andrada@881.chartlogic.direct-ci.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.

• Pagiel Shechter MD. Inc

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1760434880
  Medicare reassignment NPD

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1043886211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE P041778",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE P041778",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102707",
            "telephone_number": "424-448-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADA",
        "first_name": "ANGELIC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ani Andonian
• Antranig Gregory Andonian, DO
• Gregory Andonian, MD
• Lotta Andonian, MS
• Vida Andoun
• Nicholas Andrada, PA-C, MSPAS
• Summer Angelyn Andrada, DMD
• Alba Rocio Andrade
• Arianna Andrade
• Ariel Andrade

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.