Individual provider Active NPI

Luzviminda J Nobleza, M.D.

  • Psychiatry Physician
  • Inglewood, CA
National Provider Identifier
1417972167
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A32688A Issued in CA
Practice address
4450 W Century Blvd
Inglewood, CA 90304-1504
Phone
(310) 671-0555
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A32688A CA Primary

Addresses

Primary practice location

4450 W Century Blvd
Inglewood, CA 90304-1504

Mailing address

2221 W 232ND St
Torrance, CA 90501-5721
Phone (310) 325-4641

Other practice location 1

2221 W 232nd St
Torrance, CA 90501-5721
Phone (310) 325-4641

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009003739 CA Practitioner - Psychiatry 6608953856 Reassigns benefits to 2 organizations
Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2221 W 232ND St
Torrance, CA 90501-5721
Phone (310) 293-5769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32688CAMDPediatric Chiropractor
A32688ACAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Community Service Center Current Accepting new patients
Advanced Health Preference Group Inc a Professional Nursing Corp Psychiatry CurrentSince Mar 4, 2024 Accepting new patients

Locations

4450 W Century Blvd
Inglewood, CA 90304
Phone (310) 671-0555

26460 Summit Cir
Santa Clarita, CA 91350
Phone (562) 916-7581

12340 Seal Beach Blvd
Ste B187
Seal Beach, CA 90740
Phone (504) 814-0084

12340 Seal Beach Blvd
#B187
Seal Beach, CA 90740
Phone (310) 503-5813

803 Figueroa St
Wilmington, CA 90744
Phone (310) 830-0863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1417972167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W 232ND ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015721",
            "telephone_number": "310-325-4641",
            "fax_number": "310-323-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W CENTURY BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041504",
            "telephone_number": "310-671-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 W 232nd St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905015721",
            "country_code": "US",
            "telephone_number": "310-325-4641",
            "fax_number": "310-323-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLEZA",
        "first_name": "LUZVIMINDA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A32688A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.