Lida Wachel, N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

319612, NP 19398 Issued in CA

Practice address

5120 W Goldleaf Circle
Suite 250
Los Angeles, CA 90056-1278

Phone

(323) 446-4493

Fax

(323) 544-4987

NPI assigned

Oct 8, 2012

Last updated

May 20, 2016By the provider in NPPES

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

• Lida Westbrook Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Burnet Hospice Care, Incorporation

  dba Reliance Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Cerritos, CA
  • NPI 1457642977
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1407108061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W GOLDLEAF CIR",
            "address_2": "250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561278",
            "telephone_number": "323-446-4493",
            "fax_number": "323-544-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 W GOLDLEAF CIRCLE",
            "address_2": "SUITE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561278",
            "telephone_number": "323-446-4493",
            "fax_number": "323-544-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHEL",
        "first_name": "LIDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "319612, NP 19398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDA",
            "last_name": "WESTBROOK",
            "credential": "R.N., N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Orli Wachs, PT, DPT
• Tania Wachs, PT
• Ashley Max Wachsman, MD
• Laura Wachsman

• Gerontology Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.