Active NPI
Karen Isela Aragon Prudencio
- Doula
- Glendale, CA
National Provider Identifier
1144934613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 224 W Dryden St
Glendale, CA 91202-3748 - Phone
- (323) 303-2588
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
224 W Dryden St
Glendale, CA 91202-3748
Mailing address
11465 Ruggiero Ave
Sylmar, CA 91342-6737
Phone (323) 303-2588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F3011241 | Other | CA | CA DL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.colibripahlti.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1144934613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11465 RUGGIERO AVE",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913426737",
"telephone_number": "323-303-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W DRYDEN ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023748",
"telephone_number": "323-303-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAGON PRUDENCIO",
"first_name": "KAREN",
"middle_name": "ISELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DL",
"identifier": "F3011241",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.colibripahlti.com",
"affiliation": "N",
"endpointDescription": "Personal Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "224 W Dryden St",
"city": "Glendale",
"state": "CA",
"country_code": "US",
"postal_code": "912023748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.