Individual provider Active NPI

Mirna Tovalin, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Hacienda Heights, CA
National Provider Identifier
1215398474
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95003844 Issued in CA
Practice address
16404 Colima Rd Ste FL1
Hacienda Heights, CA 91745-5502
Phone
(626) 581-8330
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95003844 CA Primary

Addresses

Primary practice location

16404 Colima Rd Ste FL1
Hacienda Heights, CA 91745-5502

Mailing address

16101 Glencove Dr
Hacienda Heights, CA 91745-6515
Phone (626) 322-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171117000736 CA Practitioner - Nurse Practitioner 2961768395 Reassigns benefits to 1 organization
I20181207001287 WA Practitioner - Nurse Practitioner 2961768395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12462 Putnam St
Whittier, CA 90602-1048
Phone (562) 789-5430

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70418CAMDPharmacist
NP95003844CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association Family CurrentSince Feb 1, 2019 Accepting new patients
Pih Health Physicians Current Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Pih Health Physicians CurrentSince Sep 15, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Pih Health Physicians CurrentSince Sep 15, 2020 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12462 Putnam St
Whittier, CA 90602
Phone (562) 789-5430

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: mirnatovalin@pihh.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1215398474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 GLENCOVE DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456515",
            "telephone_number": "626-322-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD STE FL1",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVALIN",
        "first_name": "MIRNA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.