Active NPI
Vickie Renee McPherson, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95010032
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95010032 | CA | MD | Acute Care Nurse Practitioner |
| 814533 | NV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| Prisma Community Care | Psychiatric/Mental Health | Current | Accepting new patients |
| Alliance for Wellness, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| First Horizon Health and Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| Behavioral Health Solutions LLC | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| JWCH Institute, Inc | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Memory Check Psychological Services, a Professional Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Next Level Psychiatry Arizona PLLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tamika Henry MD Inc | Past | 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
- https://fhir4.healow.com/fhir/r4/BAFJCA
- vickie.mcpherson.1@24259.direct.athenahealth.com
- vickie.mcphersonnp.p1@direct.jwch.nextgenshare.com
- 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.
-
- Psychiatry Physician
- Inglewood, CA
- NPI 1124329131
Psychiatric/Mental Health
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba JWCH Institute Inc Medical Clinic Weingart Center
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1548765258
-
dba Southwest Medical
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
dba Southwest Center
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1104929504
-
- Psychiatric/Mental Health Nurse Practitioner
- North Las Vegas, NV
- NPI 1366187759
-
dba Wesley Health Centers - Health and Wellness Center 2
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
-
dba Wesley Health Centers (Downey)
- Federally Qualified Health Center (FQHC)
- Downey, CA
- NPI 1770988370
-
dba Intermountain Provo InstaCare
- Urgent Care Clinic/Center
- Provo, UT
- NPI 1396982203
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.