Individual provider Active NPI

Tricia Culverhouse, N.P.

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1295742625
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP11946 Issued in CA
Practice address
4815 Valley Blvd Ste C
Los Angeles, CA 90032-3300
Phone
(323) 222-1134
Fax
(323) 221-4506
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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 NP11946 CA Primary

Addresses

Primary practice location

4815 Valley Blvd Ste C
Los Angeles, CA 90032-3300

Mailing address

6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (323) 254-5221

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
I20060127000357 CA Practitioner - Nurse Practitioner 6406860592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Vista Family Health FoundationGroup PAC ID 2264498930, 21 clinicians

Practice addresses (Care Compare)

2411 N Broadway
Arroyo Vista Family Health Center
Los Angeles, CA 90031-2218
Phone (323) 987-2000

4837 Huntington Dr N
Los Angeles, CA 90032-1981
Phone (323) 225-0024

6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (323) 254-5291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP11946CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Vista Family Health Foundation CurrentSince Jan 12, 2010 Accepting new patients
Arroyo Vista Family Health Foundation CurrentSince Jan 12, 2010 Accepting new patients
Arroyo Vista Family Health Foundation Past Accepting new patients

Locations

4815 Valley Blvd
Ste C
Los Angeles, CA 90032
Phone (323) 222-1134

6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221

Interoperability endpoints

  • Direct secure messaging: tricia.culverhouse.p1@direct.arroyovista.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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1295742625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424232",
            "telephone_number": "323-254-5221",
            "fax_number": "323-254-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 VALLEY BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323300",
            "telephone_number": "323-222-1134",
            "fax_number": "323-221-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVERHOUSE",
        "first_name": "TRICIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.