Linda Doreen Humphries, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20737 Issued in CA

Practice address

1141 W. Redondo Beach Blvd.
Suite 402
Gardena, CA 90247

Phone

(310) 329-8633

Fax

(310) 329-8636

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Linda Doreen Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1386913663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "STE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474191",
            "telephone_number": "310-833-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W. REDONDO BEACH BLVD.",
            "address_2": "SUITE 402",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "310-329-8633",
            "fax_number": "310-329-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "LINDA",
        "middle_name": "DOREEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "YOUNG",
            "middle_name": "DOREEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Lauren Hughes, MD
• Priscilla Marie Huitz
• Jia Hulbert
• Marcia Humato
• Christina Humes
• Nija Hundley
• Esther Leilene Hunt, MASTERS
• Laquita Marie Hunt
• Tiana Irene Hunter
• Karina Lynn Hurtado-Cerasoli

• Family Nurse Practitioner in Gardena, CA
• Providers in Gardena, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.