Individual provider Active NPI

Adriana Arredondo, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1174894208
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21477 Issued in CA
Practice address
520 E Temple St
Los Angeles, CA 90012-4024
Phone
(213) 473-6960
NPI assigned
Jan 20, 2012
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21477 CA Primary
Registered Nurse 163W00000X 745212 CA

Addresses

Primary practice location

520 E Temple St
Los Angeles, CA 90012-4024

Mailing address

520 E Temple St
Los Angeles, CA 90012-4024
Phone (213) 473-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130703000214 CA Practitioner - Nurse Practitioner 8123268786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gracelight Community HealthGroup PAC ID 3072619618, 24 clinicians

Practice addresses (Care Compare)

303 Loma Dr
Los Angeles, CA 90017-1103
Phone (213) 858-5126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
745212CAMDRegistered Nurse
21477CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Jul 23, 2025 Accepting new patients
Comprehensive Community Health Centers Inc Current Accepting new patients
Gracelight Community Health CurrentSince Jul 23, 2025 Accepting new patients
Salud Digna, Inc. Past Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

1704 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 256-4116

303 Loma Dr
Los Angeles, CA 90017
Phone (213) 858-5126

4816 E 3rd St
Los Angeles, CA 90022
Phone (323) 780-4510

5059 York Blvd
Los Angeles, CA 90042
Phone (323) 344-4144

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: adrianaarredondo@cchc.trimed.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1174894208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124024",
            "telephone_number": "213-473-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124024",
            "telephone_number": "213-473-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "ADRIANA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21477",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "745212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.