Individual provider Active NPI

Nazarica Ricafrente

  • Family Nurse Practitioner
  • Monterey Park, CA
National Provider Identifier
1427435395
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001987 Issued in CA
Practice address
850 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-4730
Phone
(626) 284-1350
Fax
(626) 284-2454
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001987 CA Primary

Addresses

Primary practice location

850 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-4730

Mailing address

850 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-4730
Phone (626) 284-1350

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
I20150715002322 CA Practitioner - Nurse Practitioner 0042523359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fernando Ibarra MD IncGroup PAC ID 3779664453, 3 clinicians

Practice addresses (Care Compare)

309 W Beverly Blvd
Montebello, CA 90640-4308
Phone (626) 284-1350

3400 E Florence Ave
Suite a
Huntington Park, CA 90255-5835
Phone (626) 284-1350

850 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-6700
Phone (626) 284-1350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fernando Ibarra M D Inc CurrentSince Apr 22, 2015 Accepting new patients
Gastroenterology Medical of Los Angeles Inc CurrentSince Apr 22, 2015 Accepting new patients

Locations

3400 E Florence Ave
#A
Huntington Park, CA 90255
Phone (323) 588-5157

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

850 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 281-6200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1427435395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-284-1350",
            "fax_number": "626-284-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-284-1350",
            "fax_number": "626-284-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICAFRENTE",
        "first_name": "NAZARICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.