Individual provider Active NPI

Vickie Renee McPherson, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1376954818
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95010032 Issued in CA
Practice address
522 S San Pedro St
Los Angeles, CA 90013-2102
Phone
(562) 867-7999
NPI assigned
May 19, 2014
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95010032 CA
Acute Care Nurse Practitioner 363LA2100X 814533 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95010032 CA Primary

Addresses

Primary practice location

522 S San Pedro St
Los Angeles, CA 90013-2102

Mailing address

522 S San Pedro St
Los Angeles, CA 90013-2102
Phone (562) 867-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CA, UT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190329001861 NV Practitioner - Nurse Practitioner 2365782356 Reassigns benefits to 2 organizations
I20191114002752 AZ Practitioner - Nurse Practitioner 2365782356 Reassigns benefits to 1 organization
I20210726002801 CA Practitioner - Nurse Practitioner 2365782356 Reassigns benefits to 3 organizations
I20230801004671 UT Practitioner - Nurse Practitioner 2365782356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

5169 S Cottonwood St
Suite 400
Murray, UT 84107-6769
Phone (801) 507-3472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010032CAMDAcute Care Nurse Practitioner
814533NVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince May 16, 2023 Accepting new patients
JWCH Institute Inc CurrentSince Jun 26, 2023 Accepting new patients
Prisma Community Care Psychiatric/Mental Health CurrentSince Aug 30, 2019 Accepting new patients
Alliance for Wellness, Inc. Psychiatric/Mental Health CurrentSince Dec 15, 2025 Accepting new patients
First Horizon Health and Wellness Psychiatric/Mental Health CurrentSince May 8, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince May 16, 2023 Accepting new patients
JWCH Institute Inc Current Accepting new patients
Behavioral Health Solutions LLC CurrentSince May 12, 2023 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
JWCH Institute, Inc CurrentSince Jun 26, 2023 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jan 5, 2021 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince May 12, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients

Locations

1101 N Central Ave
Ste 200
Phoenix, AZ 85004
Phone (602) 307-5330

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

522 S San Pedro St
Los Angeles, CA 90013
Phone (213) 486-4085

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

8526 Del Webb Blvd
Las Vegas, NV 89134
Phone (702) 254-9192

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5169 S Cottonwood St
Ste 400
Salt Lake City, UT 84107
Phone (801) 507-3460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA
  • Direct secure messaging: vickie.mcpherson.1@24259.direct.athenahealth.com
  • Direct secure messaging: vickie.mcphersonnp.p1@direct.jwch.nextgenshare.com
  • Direct secure messaging: vmcpherson@landmarkhealth-direct.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1376954818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132102",
            "telephone_number": "562-867-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132102",
            "telephone_number": "562-867-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "VICKIE",
        "middle_name": "RENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95010032",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "814533",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.