Riviane A Jardim, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95011478 Issued in CA

Practice address

1500 San Pablo St
Los Angeles, CA 90033-5313

Phone

(323) 442-8500

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1184226292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S SEPULVEDA BLVD APT 154",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643941",
            "telephone_number": "603-318-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIM",
        "first_name": "RIVIANE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Elena Jaramillo, RDN
• Katrina Jaranilla
• Kenneth Jarantilla, PA-C
• Shahriar Jarchi, M.D.
• Patricia Miranda Jardack, RDN
• Jared B Morris MD Inc
• Devon Jareo
• Jay Mouazza Jarmakani, M.D.
• Leila K Jarman
• Monica E Jarman

• Acute Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.