Individual provider Active NPI

Nathan James Nepo, FNP

  • Family Nurse Practitioner
  • Mission Hills, CA
National Provider Identifier
1194416255
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025488 Issued in CA
Practice address
11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252
Phone
(818) 365-1194
Fax
(818) 898-3835
NPI assigned
May 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 95025488 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252

Mailing address

16320 Roscoe Blvd
Van Nuys, CA 91406-1250

Other practice location 1

16320 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1216
Phone (818) 904-6782

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
I20240410003480 CA Practitioner - Nurse Practitioner 0446610125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Consultants Medical Group IncGroup PAC ID 5597739276, 13 clinicians
The Heart Medical GroupGroup PAC ID 8123202561, 8 clinicians

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 371
Mission Hills, CA 91345-1252
Phone (818) 365-1194

16320 Roscoe Blvd
Suite 100
Van Nuys, CA 91406-1216
Phone (818) 904-6782

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Consultants Medical Group, Inc CurrentSince Feb 1, 2024 Accepting new patients
The Heart Medical Group CurrentSince Feb 16, 2026 Accepting new patients

Locations

11550 Indian Hills Rd
Ste 371
Mission Hills, CA 91345
Phone (818) 365-1194

16119 Vanowen St
Van Nuys, CA 91406
Phone (818) 904-6782

16320 Roscoe Blvd
Van Nuys, CA 91406

16320 Roscoe Blvd
Ste 100
Van Nuys, CA 91406
Phone (818) 904-6712

Interoperability endpoints

  • Direct secure messaging: nnepo35551@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1194416255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16320 ROSCOE BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451252",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16320 Roscoe Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914061216",
            "country_code": "US",
            "telephone_number": "818-904-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEPO",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.