Individual provider Active NPI

Valentina Ira, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Calabasas, CA
National Provider Identifier
1093413163
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024308 Issued in CA
Practice address
4240 Lost Hills Rd Unit 1304
Calabasas, CA 91301-5376
Phone
(818) 412-4112
NPI assigned
Feb 20, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024308 CA Primary

Addresses

Primary practice location

4240 Lost Hills Rd Unit 1304
Calabasas, CA 91301-5376

Mailing address

4240 Lost Hills Rd Unit 1304
Calabasas, CA 91301-5376
Phone (818) 412-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95024308CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1093413163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LOST HILLS RD UNIT 1304",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913015376",
            "telephone_number": "818-412-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 LOST HILLS RD UNIT 1304",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913015376",
            "telephone_number": "818-412-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRA",
        "first_name": "VALENTINA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.