Active NPI
Ria Kristine Babalcon Bernardo, NNP
- Neonatal Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1235470360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 19986
- Practice address
- UCLA Ronald Reagan Medical Center 5 Nicu
757 Westwood Plaza
Los Angeles, CA 90095-0001 - Phone
- (310) 267-7565
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 19986 | CA | Primary |
Addresses
Primary practice location
UCLA Ronald Reagan Medical Center 5 Nicu
757 Westwood Plaza
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Interoperability endpoints
- rbernardo58496@direct.uclahealth.org
Organizations & group practices 3
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.
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-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1235470360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCLA RONALD REAGAN MEDICAL CENTER 5 NICU",
"address_2": "757 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-267-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDO",
"first_name": "RIA KRISTINE",
"middle_name": "BABALCON",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CA",
"license": "19986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.