Individual provider Active NPI

Irene Melany Pocasangre, NP

  • Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1306584453
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021078 Issued in CA
Practice address
22924 White Pine PL
Santa Clarita, CA 91390-4120
Phone
(323) 440-1583
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 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 95021078 CA Primary

Addresses

Primary practice location

22924 White Pine PL
Santa Clarita, CA 91390-4120

Mailing address

22924 White Pine PL
Santa Clarita, CA 91390-4120
Phone (323) 440-1583

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irene@360healthcaremgmt.com

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
I20230502002924 CA Practitioner - Nurse Practitioner 3577928266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Coast Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Vascular Institute IncGroup PAC ID 4880904895, 3 clinicians

Practice addresses (Care Compare)

2023 W Vista Way
Suite E
Vista, CA 92083-6030
Phone (914) 979-6159

2635 Walnut St
Huntington Park, CA 90255-5709
Phone (323) 347-1002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021078CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Vascular Institute Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

606 34th St
Bakersfield, CA 93301
Phone (661) 322-8611

3941 San Dimas St
Bakersfield, CA 93301

2700 F St
Ste 101
Bakersfield, CA 93301
Phone (323) 488-0039

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

2120 19th St
Bakersfield, CA 93301
Phone (661) 638-0620

2701 W Alameda Ave
Ste 602
Burbank, CA 91505
Phone (818) 562-7374

2250 S Atlantic Blvd
Ste G
Commerce, CA 90040
Phone (323) 347-1002

463 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 359-8380

400 N Irwin St
Hanford, CA 93230
Phone (559) 584-2700

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

3611 Martin Luther King Jr Blvd
Ste 107
Lynwood, CA 90262
Phone (310) 537-2121

1211 W 6th St
Ontario, CA 91762
Phone (909) 933-6580

2023 W Vista Way
Ste E
Vista, CA 92083
Phone (760) 941-8152

2635 Walnut St
Walnut Park, CA 90255
Phone (310) 537-2121

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGBDDD

Organizations & group practices 1

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1306584453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22924 WHITE PINE PL",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904120",
            "telephone_number": "323-440-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22924 WHITE PINE PL",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904120",
            "telephone_number": "323-440-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCASANGRE",
        "first_name": "IRENE",
        "middle_name": "MELANY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene@360healthcaremgmt.com",
            "affiliation": "N",
            "endpointDescription": "Work encrypted email",
            "address_1": "22924 White Pine Pl",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913904120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.