Individual provider Active NPI

Rhea Saligumba

  • Pediatric Nurse Practitioner
  • Hawthorne, CA
National Provider Identifier
1235899717
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95016544 Issued in CA
Practice address
12301 Hawthorne Blvd
Hawthorne, CA 90250-3808
Phone
(310) 355-0054
NPI assigned
Dec 23, 2021
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95016544 CA Primary

Addresses

Primary practice location

12301 Hawthorne Blvd
Hawthorne, CA 90250-3808

Mailing address

1329 Harmony Way
Torrance, CA 90501-4862
Phone (310) 978-5068

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
I20220805001661 CA Practitioner - Nurse Practitioner 6002298171 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Pediatrics CurrentSince May 20, 2022 Accepting new patients
Providence Medical Institute Pediatrics Current Accepting new patients
Providence Medical Institute Pediatrics CurrentSince May 20, 2022 Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

520 N Prospect Ave
Ste 211
Redondo Beach, CA 90277
Phone (310) 406-2349

1294 W 6th St
Ste 104
San Pedro, CA 90731
Phone (310) 548-9118

20911 Earl St
Ste 400
Torrance, CA 90503
Phone (310) 370-0007

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-8200

3475 Torrance Blvd
Ste A
Torrance, CA 90503
Phone (310) 370-3568

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1235899717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 HARMONY WAY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014862",
            "telephone_number": "310-978-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503808",
            "telephone_number": "310-355-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIGUMBA",
        "first_name": "RHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95016544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.