Individual provider Active NPI

Ruth Pinter, RN / FNP

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1417116732
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18807 Issued in CA
Practice address
12922 Victory Blvd
Assuta Family Medical Group Apmc
North Hollywood, CA 91606-2924
Phone
(818) 760-2800
Fax
(818) 760-7343
NPI assigned
Jun 2, 2008
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18807 CA Primary
Registered Nurse 163W00000X 251964 CA

Addresses

Primary practice location

12922 Victory Blvd
Assuta Family Medical Group Apmc
North Hollywood, CA 91606-2924

Mailing address

12922 Victory Blvd
Assuta Family Medical Group Apmc
North Hollywood, CA 91606-2924
Phone (818) 760-2800

Other identifiers 2

IdentifierTypeStateIssuer
18807OtherCANURSE PRACTITIONER CERTIFICATE
251964OtherCABOARD OF REGISTERED NURSING

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
I20150529001216 CA Order and Referring Only - Nurse Practitioner 3971823154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18807CAMDClinical Social Worker
251964CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1417116732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 VICTORY BLVD",
            "address_2": "ASSUTA FAMILY MEDICAL GROUP APMC",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-760-2800",
            "fax_number": "818-760-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12922 VICTORY BLVD",
            "address_2": "ASSUTA FAMILY MEDICAL GROUP APMC",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-760-2800",
            "fax_number": "818-760-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTER",
        "first_name": "RUTH",
        "credential": "RN / FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18807",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "251964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER CERTIFICATE",
            "identifier": "18807",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "251964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.