Individual provider Active NPI

Pamela Costa, RNC, MSN, NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1083937965
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
15465 Issued in CA
Practice address
4650 W Sunset Blvd
Mailstop 31
Los Angeles, CA 90027-6062
Phone
(323) 361-3499
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 15465 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd
Mailstop 31
Los Angeles, CA 90027-6062

Mailing address

4650 W. Sunset Boulevard
Mailstop 31
Los Angeles, CA 90027
Phone (323) 361-3499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20201027002121 LA Practitioner - Nurse Practitioner 5698185999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 19, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 19, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

2700 Napoleon Ave
#5
New Orleans, LA 70115

Interoperability endpoints

  • Direct secure messaging: pcosta934573@direct.ochsner.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1083937965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W. SUNSET BOULEVARD",
            "address_2": "MAILSTOP 31",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-361-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "address_2": "MAILSTOP 31",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "PAMELA",
        "credential": "RNC, MSN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CA",
            "license": "15465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.