Active NPI
Elizabeth Videla Lalane, FNP
- Family Nurse Practitioner
- Reseda, CA
National Provider Identifier
1154604494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21735
- Practice address
- 19353 Victory Blvd.
Reseda, CA 91335 - Phone
- (818) 996-4742
- NPI assigned
- Sep 22, 2011
- Last updated
- Jun 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28196379A | IN | |
| Family Nurse Practitioner | 363LF0000X | 21735 | CA | Primary |
Addresses
Primary practice location
19353 Victory Blvd.
Reseda, CA 91335
Mailing address
19353 Victory Blvd.
Reseda, CA 91335
Phone (818) 996-4742
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21735 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1154604494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19353 VICTORY BLVD.",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "818-996-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19353 VICTORY BLVD.",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "818-996-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALANE",
"first_name": "ELIZABETH",
"middle_name": "VIDELA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28196379A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.