Leilani Hermosura-Bautista, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

463090 Issued in CA

Practice address

7601 Imperial Hwy
Downey, CA 90242-3456

Phone

(562) 401-8291

Fax

(562) 401-6047

NPI assigned

May 18, 2007

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

• Leilani Hermosura Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396953758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19433 AMHURST CT",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036787",
            "telephone_number": "562-401-6843",
            "fax_number": "562-401-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-401-8291",
            "fax_number": "562-401-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSURA-BAUTISTA",
        "first_name": "LEILANI",
        "name_prefix": "Mrs.",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "463090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILANI",
            "last_name": "HERMOSURA",
            "credential": "RN, NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sonya S Hensley, LCSW
• Joysel Arianne Heras
• Julia-Alejandra Heredia, LCSW
• Ashley Elizabeth Herman, PA-C
• Diane Christine Hermiz, DO
• Wendy Hernadez
• Jesse Hernandez 111
• April Hernandez Elizondo
• Shirley Hernandez Ochoa
• Juan Carlos Hernandez Pineda, ATC

• Family Nurse Practitioner in Downey, CA
• Providers in Downey, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.