Individual provider Active NPI

Nilsa Patritti Laborde, M.D.,PH.D

  • General Practice Physician
  • Torrance, CA
National Provider Identifier
1225140429
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A43912 Issued in CA
Practice address
4201 Torrance Blvd Ste 735
Torrance, CA 90503-4518
Phone
(310) 540-7599
Fax
(310) 540-7579
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X A43912 CA
General Practice Physician 208D00000X A43912 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd Ste 735
Torrance, CA 90503-4518

Mailing address

4201 Torrance Blvd.
Suite 110
Torrance, CA 90503-6004
Phone (310) 540-7599

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001155 CA Practitioner - Family Practice 9335265289 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Torrance, CA 90503
Phone (310) 971-5985

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health System Southern California Past Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1225140429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD.",
            "address_2": "SUITE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036004",
            "telephone_number": "310-540-7599",
            "fax_number": "310-540-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 735",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034518",
            "telephone_number": "310-540-7599",
            "fax_number": "310-540-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "NILSA",
        "middle_name": "PATRITTI",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "CA",
            "license": "A43912",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A43912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.