Active NPI
Irene Melany Pocasangre, NP
- Nurse Practitioner
- Santa Clarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95021078
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95021078 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Vascular Institute Inc | Current | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Beverly Hills, CA
- NPI 1982029732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.