Individual provider Active NPI

Josha Krista Ventura Hilahan

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1235905019
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
594093 Issued in CA
Practice address
2072 S Flippen Dr
Anaheim, CA 92802-3911
Phone
(714) 349-2080
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 594093 CA Primary

Addresses

Primary practice location

2072 S Flippen Dr
Anaheim, CA 92802-3911

Mailing address

2072 S Flippen Dr
Anaheim, CA 92802-3911
Phone (714) 349-2080

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
I20251219000933 CA Practitioner - Nurse Practitioner 9032604871 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Mobile Wound CareGroup PAC ID 1557889854, 9 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90012
Phone (602) 851-1266

Anaheim, CA 92801
Phone (562) 388-8458

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
594093CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Mobile Wound Care CurrentSince Sep 1, 2025 Accepting new patients
Perpetual Wound Rescue CurrentSince Sep 1, 2025 Accepting new patients
PHX Mobile Wound Care LLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

1100 E Orangethorpe Ave
Ste 200R
Anaheim, CA 92801
Phone (714) 273-7672

1100 E Orangethorpe Ave
Ste 252K
Anaheim, CA 92801
Phone (562) 388-8458

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.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1235905019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 S FLIPPEN DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023911",
            "telephone_number": "714-349-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 S FLIPPEN DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023911",
            "telephone_number": "714-349-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAHAN",
        "first_name": "JOSHA KRISTA",
        "middle_name": "VENTURA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "594093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.