Individual provider Active NPI

Christine Costa, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1407929581
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14122 Issued in CA
Practice address
433 N Hoover St
Los Angeles, CA 90004-2306
Phone
(323) 644-2040
Fax
(213) 342-3118
NPI assigned
Nov 16, 2006
Last updated
Oct 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14122 CA Primary
Case Management Registered Nurse 163WC0400X 568972 CA

Addresses

Primary practice location

433 N Hoover St
Los Angeles, CA 90004-2306

Mailing address

433 N Hoover St
Los Angeles, CA 90004-2306
Phone (323) 644-2040

Other practice location 1

800 N State College Blvd
Fullerton, CA 92831-3547
Phone (323) 644-2040

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
I20160511001010 CA Practitioner - Nurse Practitioner 2163711367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1407929581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042306",
            "telephone_number": "323-644-2040",
            "fax_number": "213-342-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042306",
            "telephone_number": "323-644-2040",
            "fax_number": "213-342-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N State College Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313547",
            "country_code": "US",
            "telephone_number": "323-644-2040",
            "fax_number": "213-342-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "14122",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "568972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.