Individual provider Active NPI

Betty Eshetu, R.N.

  • Registered Nurse
  • Culver City, CA
National Provider Identifier
1154134187
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95041804 Issued in CA
Practice address
3828 Delmas Terrace
P6-Bhu
Culver City, CA 90232-9023
Phone
(310) 836-7000
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95041804 CA Primary

Addresses

Primary practice location

3828 Delmas Terrace
P6-Bhu
Culver City, CA 90232-9023

Mailing address

3828 Delmas Terrace
P6-Bhu
Culver City, CA 90232-9023
Phone (310) 836-7000

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95041804CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1154134187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TERRACE",
            "address_2": "P6-BHU",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902329023",
            "telephone_number": "310-836-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TERRACE",
            "address_2": "P6-BHU",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902329023",
            "telephone_number": "310-836-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHETU",
        "first_name": "BETTY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95041804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.