Roberto Ivan Sanchez Neri, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95023383 Issued in CA

Practice address

6021 Pacific Blvd Ste 103
Huntington Park, CA 90255-2953

Phone

(323) 300-6211

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Care Connect Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669971
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Lancaster, CA
  • NPI 1982863783
  NPD
• Abdelmalak Podiatry Corp

  • Foot & Ankle Surgery Podiatrist
  • El Monte, CA
  • NPI 1730661620
  NPD (past)
• Community Prenatal and Medical Clinic, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
  • NPI 1073735387
  NPD (past)
• Michael L Wach DPM Podiatry Corp

  • Primary Podiatric Medicine Podiatrist
  • Indio, CA
  • NPI 1700133931
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1194434811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 N INDIANA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323616",
            "telephone_number": "323-633-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 PACIFIC BLVD STE 103",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552953",
            "telephone_number": "323-300-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 N Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900323616",
            "country_code": "US",
            "telephone_number": "323-633-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14435 Hamlin St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914016205",
            "country_code": "US",
            "telephone_number": "818-997-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ NERI",
        "first_name": "ROBERTO",
        "middle_name": "IVAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-10-25",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• San Angel Medical Clinic, Inc.
• San Antonio Mental Health Clinic
• San Manuel Medical Clinic, Inc
• San Miguel Urgent Care
• San Miguel Urgent Care Huntington Park
• Cesar Esteban Sanchez, D.D.S.
• Erica Josephine Sanchez
• Hector Sanchez
• Jonathan Sanchez
• Lucio Sanchez, MD

• Nurse Practitioner in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.