Individual provider Active NPI

Sarah Louise Storniolo, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1215554068
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032524 Issued in CA
Practice address
8631 W 3Rd St Ste 1035
Los Angeles, CA 90048-5964
Phone
(310) 659-9075
Fax
(310) 689-2422
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 237887 TN
Registered Nurse 163W00000X 201700591RN OR
Family Nurse Practitioner 363LF0000X 202009555NP-PP OR
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95032524 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 1035
Los Angeles, CA 90048-5964

Mailing address

4000 Hollywood Blvd Ste 215S
Hollywood, FL 33021-1227
Phone (310) 659-9075

Other practice location 1

4560 Admiralty Way Ste 101
Marina Del Rey, CA 90292-5424
Phone (310) 577-7544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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
I20211001002794 OR Practitioner - Nurse Practitioner 5698173847 Reassigns benefits to 1 organization
I20250815002382 CA Practitioner - Nurse Practitioner 5698173847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Dermatology and Laser Medical Center IncGroup PAC ID 0345277000, 2 clinicians
Tower Dermatology PCGroup PAC ID 2668554353, 3 clinicians

Practice addresses (Care Compare)

4560 Admiralty Way
Suite 101
Marina del Rey, CA 90292-5424
Phone (310) 577-7544

8631 W 3Rd St
Suite 1035E
Los Angeles, CA 90048-5964
Phone (310) 659-9075

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201700591RNORMDRegistered Nurse
237887TNMDRegistered Nurse
95032524CAMDFamily Nurse Practitioner
202009555NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC Single Specialty CurrentSince Sep 28, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 28, 2021 Accepting new patients
Tower Dermatology PC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

8631 W 3rd St
Ste 1035
Los Angeles, CA 90048
Phone (310) 659-9075

8631 W 3rd St
Ste 1035E
Los Angeles, CA 90048
Phone (310) 659-9075

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1215554068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 215S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211227",
            "telephone_number": "310-659-9075",
            "fax_number": "310-689-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1035",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485964",
            "telephone_number": "310-659-9075",
            "fax_number": "310-689-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 Admiralty Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902925424",
            "country_code": "US",
            "telephone_number": "310-577-7544",
            "fax_number": "310-577-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORNIOLO",
        "first_name": "SARAH",
        "middle_name": "LOUISE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "237887",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201700591RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202009555NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.