Individual provider Active NPI

Anca Elena Fatu, N.P.

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1316985203
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13452 Issued in CA
Practice address
221 Westwood Plaza
Los Angeles, CA 90095-3063
Phone
(310) 825-4073
Fax
(310) 983-1172
NPI assigned
Jun 3, 2006
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 13452 CA Primary

Addresses

Primary practice location

221 Westwood Plaza
Los Angeles, CA 90095-3063

Mailing address

PO Box 951703
Los Angeles, CA 90095-1703
Phone (310) 825-2774

Other practice location 1

7100 Van Nuys Blvd
Suite 108
Van Nuys, CA 91405-3063
Phone (800) 576-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13452CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Los Angeles Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anca.faturnp.p1@direct.plannedparenthoodla.nextgenshare.com

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, 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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1316985203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-825-2774",
            "fax_number": "310-267-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953063",
            "telephone_number": "310-825-4073",
            "fax_number": "310-983-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Van Nuys Blvd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053063",
            "country_code": "US",
            "telephone_number": "800-576-5544",
            "fax_number": "818-909-9886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATU",
        "first_name": "ANCA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.