Active NPI
Angelie Vanessa Loza, NP
- Family Nurse Practitioner
- Manhattan Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013992
- Practice address
- 1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929 - Phone
- (310) 376-6262
- NPI assigned
- Feb 27, 2020
- Last updated
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95013992 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneil Enterprises Inc | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.