Individual provider Active NPI

Holly Anne Gloudemans

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1144804550
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017289 Issued in CA
Practice address
99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288
Phone
(310) 358-2992
Fax
(310) 358-2973
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95017289 CA
Family Nurse Practitioner 363LF0000X 95017289 CA Primary

Addresses

Primary practice location

99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 385-2992

Other names 1

  • Holly Anne Hanson Former name

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
I20220304000520 CA Practitioner - Nurse Practitioner 4789078973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

99 N la Cienega Blvd
Suite 202
Beverly Hills, CA 90211-2285
Phone (310) 385-3300

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95017289CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marinaro Chiropractic Inc. CurrentSince Aug 1, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 6, 2025 Accepting new patients

Locations

99 N La Cienega Blvd
Ste M102
Beverly Hills, CA 90211
Phone (310) 358-2992

99 N La Cienega Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300

8300 W 3rd St
Los Angeles, CA 90048
Phone (323) 653-3344

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: holly.gloudemansnp.p1@direct.plannedparenthoodla.nextgenshare.com
  • Direct secure messaging: hgloudemans516130@direct.cshs.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1144804550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "310-385-2992",
            "fax_number": "310-385-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE M102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112288",
            "telephone_number": "310-358-2992",
            "fax_number": "310-358-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOUDEMANS",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95017289",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HANSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.