Individual provider Active NPI

Maria C Galura, NP-C

  • Family Nurse Practitioner
  • Porter Ranch, CA
National Provider Identifier
1124634118
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07201874 Issued in CA
Practice address
20320 Via Cellini
Porter Ranch, CA 91326-4060
Phone
(818) 294-5178
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X F07201874 CA Primary

Addresses

Primary practice location

20320 Via Cellini
Porter Ranch, CA 91326-4060

Mailing address

20320 Via Cellini
Porter Ranch, CA 91326-4060
Phone (818) 294-5178

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07201874CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob Jacque Ahdoot MD a Professional Corporation CurrentSince Nov 4, 2020 Accepting new patients
White Memorial Medical Center PastSince Nov 4, 2020 Accepting new patients

Locations

1711 W Temple St
Ste 1050
Los Angeles, CA 90026
Phone (323) 250-2680

Organizations & group practices 2

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1124634118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 VIA CELLINI",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264060",
            "telephone_number": "818-294-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 VIA CELLINI",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264060",
            "telephone_number": "818-294-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALURA",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F07201874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.