Active NPI
Tina Irene Neu, FNP
- Family Nurse Practitioner
- Torrance, CA
National Provider Identifier
1174862502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12169
- Practice address
- 3661 Torrance Blvd Ste 200
Torrance, CA 90503-4886 - Phone
- (310) 923-9331
- NPI assigned
- Feb 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12169 | CA | Primary |
Addresses
Primary practice location
3661 Torrance Blvd Ste 200
Torrance, CA 90503-4886
Mailing address
22615 Fern Ave
Torrance, CA 90505-2929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12169 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1174862502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22615 FERN AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 TORRANCE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034886",
"telephone_number": "310-923-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "TINA",
"middle_name": "IRENE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "12169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.