Individual provider Active NPI

Maria Nolasco, N.P.

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1316313190
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002632 Issued in CA
Practice address
15109 Vanowen Street
Van Nuys, CA 91409
Phone
(818) 902-5763
Fax
(818) 904-3774
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002632 CA Primary

Addresses

Primary practice location

15109 Vanowen Street
Van Nuys, CA 91409

Mailing address

10523 Crockett St
Sun Valley, CA 91352-4121
Phone (818) 823-5933

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
I20160309000338 CA Practitioner - Nurse Practitioner 4183920739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone (818) 768-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002632CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Emergency Medical Associates CurrentSince Jan 29, 2016 Accepting new patients
Serra Community Medical Clinic Inc CurrentSince Mar 24, 2020 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Mar 24, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 21, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 21, 2016 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Maria Nolasco NP a Nursing Corp Past Accepting new patients
Dignity Community Care Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

8426 Sunland Blvd
Sun Valley, CA 91352
Phone (815) 504-4514

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

14600 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 756-2563

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: man255pcs@m1606.primeclinicalsystems.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1316313190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 CROCKETT ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524121",
            "telephone_number": "818-823-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15109 VANOWEN STREET",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91409",
            "telephone_number": "818-902-5763",
            "fax_number": "818-904-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLASCO",
        "first_name": "MARIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.