Individual provider Active NPI

Kinda Pineda, FNP

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1245079805
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030207 Issued in CA
Practice address
4201 Torrance Blvd Ste 260
Torrance, CA 90503-4534
Phone
(424) 212-5333
Fax
(424) 212-5343
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 95030207 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd Ste 260
Torrance, CA 90503-4534

Mailing address

53 62ND PL Apt a
Long Beach, CA 90803-5693
Phone (310) 961-0974

Other practice location 1

53 62nd Place Apt. A
Long Beach, CA 90803
Phone (310) 961-0974

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
I20241004003369 CA Practitioner - Nurse Practitioner 3870024565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

4201 Torrance Blvd
Suite 260
Torrance, CA 90503-4534
Phone (424) 212-5333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030207CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 4, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Oct 7, 2024 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Oct 1, 2025 Accepting new patients
Providence Medical Institute CurrentSince Oct 1, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

4201 Torrance Blvd
Ste 260
Torrance, CA 90503
Phone (424) 212-5333

Interoperability endpoints

  • Direct secure messaging: kpineda480525@oc.providencedirect.org

Organizations & group practices 6

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1245079805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 62ND PL APT A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035693",
            "telephone_number": "310-961-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034534",
            "telephone_number": "424-212-5333",
            "fax_number": "424-212-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 62nd Place Apt. A",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90803",
            "country_code": "US",
            "telephone_number": "310-961-0974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "KINDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.