Individual provider Active NPI

Raulin Dadural Feria, APRN, FNP-BC

  • Family Nurse Practitioner
  • Carson, CA
National Provider Identifier
1093496200
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027595 Issued in CA
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

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221003240 CA Practitioner - Nurse Practitioner 2163942061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027595CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Health Medical Solutions PC CurrentSince Jan 1, 2025 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

Verify at the official NPI Registry.