Active NPI
Nicole Angela Hou, N.P.
- Nurse Practitioner
- Loma Linda, CA
National Provider Identifier
1053697367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21193
- Practice address
- 11234 Anderson St RM 2562B
Loma Linda, CA 92354-2804 - Phone
- (818) 879-3177
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21193 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St RM 2562B
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St RM 2562B
Loma Linda, CA 92354-2804
Phone (818) 879-3177
Other practice location 1
1000 W Carson St
Box 42
Torrance, CA 90502-2004
Phone (310) 222-1912
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21193 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Interoperability endpoints
- nperez137332@direct.llu.edu
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1053697367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM 2562B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "818-879-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM 2562B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "818-879-3177"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St",
"address_2": "Box 42",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-1912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOU",
"first_name": "NICOLE",
"middle_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "21193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.