Active NPI
Christine Costa, NP
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1407929581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 14122
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
-
dba Gateway Hospital & Community MH Center
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1720151137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.