Organization Active NPI

J Rapha Management

Doing business as Professional Concierge Nursing

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1205432291
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
J RAPHA MANAGEMENT
Doing business as
Professional Concierge Nursing
Practice address
4601 S Budlong Ave
Los Angeles, CA 90037-2811
Phone
(310) 844-3440
Fax
(725) 209-1284
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Dr. Regina Wiggins Speights, DNP, FNP-C, PMHNP-BCNPI 1982055430
Title
Ceo
Phone
(310) 844-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

4601 S Budlong Ave
Los Angeles, CA 90037-2811

Mailing address

4601 S Budlong Ave
Los Angeles, CA 90037-2811
Phone (832) 368-9832

Other practice location 1

12217 Santa Monica Blvd Ste 202
Los Angeles, CA 90025-2589
Phone (310) 844-3440

Other practice location 2

5470 Kietzke Ln Ste 300
Reno, NV 89511-2099
Phone (702) 817-2258

Other names 1

  • Professional Concierge Nursing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822002332 CA Part B Supplier - Clinic/Group Practice 7012322571 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

12217 Santa Monica Blvd
Ste 202
Los Angeles, CA 90025
Phone (310) 844-3440

11321 Iowa Ave
Ste 2
Los Angeles, CA 90025
Phone (310) 844-3440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1205432291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S BUDLONG AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372811",
            "telephone_number": "832-368-9832",
            "fax_number": "725-209-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S BUDLONG AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372811",
            "telephone_number": "310-844-3440",
            "fax_number": "725-209-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12217 Santa Monica Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900252589",
            "country_code": "US",
            "telephone_number": "310-844-3440",
            "fax_number": "725-209-1284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5470 Kietzke Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112099",
            "country_code": "US",
            "telephone_number": "702-817-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J RAPHA MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "SPEIGHTS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "WIGGINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-844-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Concierge Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Concierge Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.