Individual provider Active NPI

Kristine R Armosilla, FNP

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1336608777
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95010381 Issued in CA
Practice address
1500 E Anaheim St Ste 100
Long Beach, CA 90813-4051
Phone
(844) 822-4646
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 95010381 CA Primary

Addresses

Primary practice location

1500 E Anaheim St Ste 100
Long Beach, CA 90813-4051

Mailing address

1500 E Anaheim St Ste 100
Long Beach, CA 90813-4051
Phone (844) 822-4646

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
I20260429000887 CA Order and Referring Only - Nurse Practitioner 6002207438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010381CAMDFamily Medicine Physician
95026368CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1336608777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E ANAHEIM ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134051",
            "telephone_number": "844-822-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E ANAHEIM ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134051",
            "telephone_number": "844-822-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMOSILLA",
        "first_name": "KRISTINE",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.