Active NPI
Loren Marie Monticelli, NP
- Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1396240917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95007769
- Practice address
- 875 Blake Wilbur Dr
Palo Alto, CA 94304 - Phone
- (650) 498-6000
- NPI assigned
- Mar 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95007769 | CA | Primary |
Addresses
Primary practice location
875 Blake Wilbur Dr
Palo Alto, CA 94304
Mailing address
285 Union Ave Apt E2099
Campbell, CA 95008
Phone (805) 712-4537
Other names 1
- Ms. Loren Marie Farao
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95007769 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1396240917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 UNION AVE APT E2099",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "95008",
"telephone_number": "805-712-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 BLAKE WILBUR DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-498-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTICELLI",
"first_name": "LOREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95007769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOREN",
"last_name": "FARAO",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.