Active NPI
Michiko Karube
- Acute Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1164645966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 15159
- Practice address
- 1500 San Pablo Street
Los Angeles, CA 90033-5324 - Phone
- (323) 442-5907
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | 513840 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 15159 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo Street
Los Angeles, CA 90033-5324
Mailing address
15007 Burbank Blvd Apt 202
Van Nuys, CA 91411-3649
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513840 | CA | MD | Gastroenterology Registered Nurse |
| 15159 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1164645966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15007 BURBANK BLVD APT 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914113649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335324",
"telephone_number": "323-442-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARUBE",
"first_name": "MICHIKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "CA",
"license": "513840",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "15159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.