Individual provider Active NPI

Taryn Orellana, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1275990699
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95006039 Issued in CA
Practice address
150 E Olive Ave Ste 203
Burbank, CA 91502-1849
Phone
(818) 973-4899
NPI assigned
Jan 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 827062 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006039 CA Primary

Addresses

Primary practice location

150 E Olive Ave Ste 203
Burbank, CA 91502-1849

Mailing address

150 E Olive Ave Ste 203
Burbank, CA 91502-1849
Phone (818) 973-4899

Other names 1

  • Ms. Taryn Costa Former name

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
I20170920002710 CA Practitioner - Nurse Practitioner 2860766458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enki Health Services IncGroup PAC ID 8022926559, 25 clinicians

Practice addresses (Care Compare)

6001 Clara St
Bell Gardens, CA 90201-4723
Phone (562) 806-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
827062CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. CurrentSince Jul 5, 2017 Accepting new patients
Enki Health Services, Inc. Current Accepting new patients
Enki Health Services, Inc CurrentSince Jul 5, 2017 Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

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": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1275990699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE STE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021849",
            "telephone_number": "818-973-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE STE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021849",
            "telephone_number": "818-973-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "TARYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-16",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "827062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "COSTA",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.