Individual provider Active NPI

Loretta Mazorra, N.P. AND C.N.S.

  • Clinical Nurse Specialist
  • Los Angeles, CA
National Provider Identifier
1285843631
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
1143834 Issued in CA
Practice address
2112 Century Park LN
Suite 217
Los Angeles, CA 90067-3300
Phone
(310) 772-0064
Fax
(310) 772-0064
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1143834 CA
Clinical Nurse Specialist 364S00000X 1143834 CA Primary

Addresses

Primary practice location

2112 Century Park LN
Suite 217
Los Angeles, CA 90067-3300

Mailing address

2112 Century Park LN
Suite 217
Los Angeles, CA 90067-3300
Phone (310) 772-0064

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
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1143834CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285843631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 CENTURY PARK LN",
            "address_2": "SUITE 217",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673300",
            "telephone_number": "310-772-0064",
            "fax_number": "310-772-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 CENTURY PARK LN",
            "address_2": "SUITE 217",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673300",
            "telephone_number": "310-772-0064",
            "fax_number": "310-772-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZORRA",
        "first_name": "LORETTA",
        "name_prefix": "Ms.",
        "credential": "N.P. AND C.N.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "1143834",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "1143834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.