Individual provider Active NPI

Lenora Ann Ford-Watson, F.N.P.

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1356428692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN319054 Issued in CA
Practice address
928 W 40TH PL
Los Angeles, CA 90037-1905
Phone
(323) 235-6229
Fax
(323) 235-1157
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN319054 CA Primary

Addresses

Primary practice location

928 W 40TH PL
Los Angeles, CA 90037-1905

Mailing address

3032 E Chaparral St
Ontario, CA 91761-9123
Phone (909) 923-7993

Other identifiers 1

IdentifierTypeStateIssuer
NP293MedicaidCA

Other names 1

  • Ms. Lenora Ann Ford-Peterson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN319054CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356428692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 E CHAPARRAL ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619123",
            "telephone_number": "909-923-7993",
            "fax_number": "909-923-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 W 40TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900371905",
            "telephone_number": "323-235-6229",
            "fax_number": "323-235-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD-WATSON",
        "first_name": "LENORA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN319054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENORA",
            "last_name": "FORD-PETERSON",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "F.N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.