Active NPI
Jamie Joyce Hermosura, FNP-BC
- Nurse Practitioner
- Carson, CA
National Provider Identifier
1285226969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95015511
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95015511 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Make You Well Center, Inc | Nurse Practitioner | Past | Accepting new patients |
| BMJC Medical Group Inc | Past | Accepting new patients | |
| Planned Parenthood of Greater New York Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Torrance, CA
- NPI 1932929718
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
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.