Individual provider Active NPI

Celeste Punsal, FNP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1396448866
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024676 Issued in CA
Practice address
1124 Montecito Dr
Los Angeles, CA 90031-1637
Phone
(323) 445-5680
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 95024676 CA Primary

Addresses

Primary practice location

1124 Montecito Dr
Los Angeles, CA 90031-1637

Mailing address

1124 Montecito Dr
Los Angeles, CA 90031-1637
Phone (323) 445-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002237 CA Practitioner - Nurse Practitioner 0547621005 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024676CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Hospitalists, Inc CurrentSince Sep 5, 2024 Accepting new patients

Locations

7143 Seville Ave
Huntington Pk, CA 90255
Phone (323) 584-9525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1396448866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 MONTECITO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900311637",
            "telephone_number": "323-445-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 MONTECITO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900311637",
            "telephone_number": "323-445-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNSAL",
        "first_name": "CELESTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.