Active NPI
Irene Grosleib, FNP
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1184308199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95025632
- Practice address
- 1121 N la Cienega Blvd Apt 208
Los Angeles, CA 90069-2479 - Phone
- (213) 534-8686
- NPI assigned
- Jun 12, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95182569 | CA | |
| Nurse Practitioner | 363L00000X | 95025632 | CA | Primary |
Addresses
Primary practice location
1121 N la Cienega Blvd Apt 208
Los Angeles, CA 90069-2479
Mailing address
1121 N la Cienega Blvd Apt 208
Los Angeles, CA 90069-2479
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 |
|---|---|---|---|
| 95182569 | CA | MD | Registered Nurse |
| 95025632 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1184308199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N LA CIENEGA BLVD APT 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900692479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N LA CIENEGA BLVD APT 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900692479",
"telephone_number": "213-534-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSLEIB",
"first_name": "IRENE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95182569",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95025632",
"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 Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.