Individual provider Active NPI

Gina Raquel Monreal, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1215712450
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025630 Issued in CA
Practice address
2100 W 3Rd St Ste 400
Los Angeles, CA 90057-2290
Phone
(213) 353-4973
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 95025630 CA Primary

Addresses

Primary practice location

2100 W 3Rd St Ste 400
Los Angeles, CA 90057-2290

Mailing address

2100 W 3Rd St Ste 400
Los Angeles, CA 90057-2290
Phone (213) 353-4973

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
I20240101000319 CA Order and Referring Only - Nurse Practitioner 9830549039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025630CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1215712450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572290",
            "telephone_number": "213-353-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572290",
            "telephone_number": "213-353-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONREAL",
        "first_name": "GINA",
        "middle_name": "RAQUEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.