Individual provider Active NPI

Lluriana Bailon, FNP-C

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1336657204
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007882 Issued in CA
Practice address
1005 E Washington Blvd Ste a
Los Angeles, CA 90021-3082
Phone
(323) 233-3100
NPI assigned
Jan 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 687017 CA
Nurse Practitioner 363L00000X 95007882 CA Primary

Addresses

Primary practice location

1005 E Washington Blvd Ste a
Los Angeles, CA 90021-3082

Mailing address

1005 E Washington Blvd Ste 2
Los Angeles, CA 90021-3068
Phone (323) 233-3100

Other practice location 1

1005 E Washington Blvd
Los Angeles, CA 90021-3068
Phone (323) 233-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20221013003523 CA Practitioner - Nurse Practitioner 1456727544 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
687017CAMDRegistered Nurse
95007882CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Community Health Center Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Universal Community Health Center CurrentSince Jul 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 2, 2024 Accepting new patients

Locations

2801 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

2098 S Central Ave
Los Angeles, CA 90011
Phone (323) 233-3100

1005 E Washington Blvd
Ste A
Los Angeles, CA 90021
Phone (213) 745-3636

1005 E Washington Blvd
Los Angeles, CA 90021
Phone (213) 745-3636

1919 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

1005 E Washington Blvd
Ste 2
Los Angeles, CA 90021

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Interoperability endpoints

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

Organizations & group practices 5

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": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1336657204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213068",
            "telephone_number": "323-233-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213082",
            "telephone_number": "323-233-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900213068",
            "country_code": "US",
            "telephone_number": "323-233-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILON",
        "first_name": "LLURIANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2023-12-22",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "687017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.