Individual provider Active NPI

Jamie Joyce Hermosura, FNP-BC

  • Nurse Practitioner
  • Carson, CA
National Provider Identifier
1285226969
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015511 Issued in CA
Practice address
22858 Baywood Dr
Carson, CA 90745-4754
Phone
(310) 989-5923
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015511 CA Primary

Addresses

Primary practice location

22858 Baywood Dr
Carson, CA 90745-4754

Mailing address

400 W 30TH St
Los Angeles, CA 90007-3320
Phone (213) 284-3200

Other practice location 1

23365 Hawthorne Blvd Ste 104
Torrance, CA 90505-3736
Phone (424) 292-4060

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015511CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Make You Well Center, Inc Nurse Practitioner PastSince Jun 23, 2019 Accepting new patients
BMJC Medical Group Inc PastSince Oct 20, 2024 Accepting new patients
Planned Parenthood of Greater New York Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamie.hermosuranp.p1@direct.plannedparenthoodla.nextgenshare.com

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1285226969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073320",
            "telephone_number": "213-284-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22858 BAYWOOD DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454754",
            "telephone_number": "310-989-5923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23365 Hawthorne Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053736",
            "country_code": "US",
            "telephone_number": "424-292-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMOSURA",
        "first_name": "JAMIE JOYCE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.