Priscilla Joann Madison, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95009290 Issued in CA

Practice address

1680 E 120TH St
Los Angeles, CA 90059-3026

Phone

(424) 338-8000

NPI assigned

Aug 1, 2018

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

Other names 1

• Priscilla Joann Bedolla Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bel Air Critical Care Medical Group IncGroup PAC ID 4385917491, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bel Air Critical Care Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1396268041
  Medicare reassignment Care Compare group NPD
• Capital Hospitalist Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1992178222
  Medicare reassignment NPD
• Superior Hospitalist Medical Group Inc

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1780047712
  Medicare reassignment NPD
• Vep MLK Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1841679289
  Medicare reassignment NPD
• Willow Brook Critical Care Medical Group, Inc

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1811520224
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  Care Compare affiliation

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1073091013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E CALIFORNIA BLVD UNIT 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064057",
            "telephone_number": "323-348-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593026",
            "telephone_number": "424-338-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "PRISCILLA",
        "middle_name": "JOANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "BEDOLLA",
            "middle_name": "JOANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latyra Lelia Madison
• Madeline Adelle Madison, LMFT
• Maria Guadalupe Madison
• Mary Madison
• Michael Sean Madison
• Latesa Sheree Madkins, SOCIAL WORK B.A.
• Laila Azad Madni, PSY.D.
• Amy Lewis Madnick, M.S.W., L.C.S.W.
• Alexander James Madonis, M.D.
• Jorge Manuel Madrid Aispuro

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.