Active NPI
Holly Fall, NP
- Adult Health Nurse Practitioner
- Torrance, CA
National Provider Identifier
1063634095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 293822
- Practice address
- 16007 Crenshaw Blvd
Student Health Services
Torrance, CA 90506-0001 - Phone
- (310) 660-6417
- Fax
- (310) 660-3828
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 293822 | CA | Primary |
Addresses
Primary practice location
16007 Crenshaw Blvd
Student Health Services
Torrance, CA 90506-0001
Mailing address
1747 Herrin St
Redondo Beach, CA 90278-2827
Phone (310) 379-9592
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Camino Community College District | Past | Accepting new patients |
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.
-
dba El Camino College
- Student Health Clinic/Center
- Torrance, CA
- NPI 1104673656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063634095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 HERRIN ST",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782827",
"telephone_number": "310-379-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16007 CRENSHAW BLVD",
"address_2": "STUDENT HEALTH SERVICES",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905060001",
"telephone_number": "310-660-6417",
"fax_number": "310-660-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALL",
"first_name": "HOLLY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "293822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
- Fajuz Psychiatry Associates LLC
- Adetoun Fidelia Fakoya
- Michelle L Falcon, MD
- Artem Falinsky
- Cristina C Falk, CRNA MSN
- Family Acupuncture, Inc. (Withee Acupuncture, Inc.)
- Family Health & Housing Foundation (Sunnyside Nursing Center)
- Family Planning Associates Medical Group Inc (FPA Women's Health)
- Family Planning Associates Medical Group Inc (FPA Women's Health)
- Family Promise of the South Bay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.