Active NPI
Raulin Dadural Feria, APRN, FNP-BC
- Family Nurse Practitioner
- Carson, CA
National Provider Identifier
1093496200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027595
- Practice address
- 23247 Main St
Carson, CA 90745-5229 - Phone
- (310) 429-0839
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027595 | CA | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
23247 Main St
Carson, CA 90745-5229
Mailing address
4055 Redwood Ave Unit 104
Los Angeles, CA 90066-5189
Phone (323) 229-3338
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027595 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easy Health Medical Solutions PC | Current | Accepting new patients |
Locations
1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331
10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1093496200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 REDWOOD AVE UNIT 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665189",
"telephone_number": "323-229-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23247 MAIN ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907455229",
"telephone_number": "310-429-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERIA",
"first_name": "RAULIN",
"middle_name": "DADURAL",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027595",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.