Individual provider Active NPI

Angelie Vanessa Loza, NP

  • Family Nurse Practitioner
  • Manhattan Beach, CA
National Provider Identifier
1225662398
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013992 Issued in CA
Practice address
1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone
(310) 376-6262
NPI assigned
Feb 27, 2020
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 95013992 CA Primary

Addresses

Primary practice location

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929

Mailing address

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262

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
I20210301002675 CA Practitioner - Nurse Practitioner 4688080526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneil Enterprises IncGroup PAC ID 9638506686, 16 clinicians

Practice addresses (Care Compare)

5424 Woodruff Ave
Lakewood, CA 90713-1533
Phone (562) 452-0038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013992CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneil Enterprises Inc CurrentSince Jul 25, 2024 Accepting new patients

Locations

4139 Ball Rd
Cypress, CA 90630
Phone (657) 377-0740

3220 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 465-4127

5424 Woodruff Ave
Lakewood, CA 90713
Phone (562) 452-0038

Interoperability endpoints

  • Direct secure messaging: angelie.loza.1@3488.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1225662398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665929",
            "telephone_number": "310-376-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665929",
            "telephone_number": "310-376-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZA",
        "first_name": "ANGELIE",
        "middle_name": "VANESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.