Individual provider Active NPI

Sirorat Krogstad, FNP

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1427770213
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95021773 Issued in CA
Practice address
2327 E Larkwood St
West Covina, CA 91791-2812
Phone
(818) 633-2809
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 755110 CA
Family Nurse Practitioner 363LF0000X NP95021773 CA Primary

Addresses

Primary practice location

2327 E Larkwood St
West Covina, CA 91791-2812

Mailing address

2327 E Larkwood St
West Covina, CA 91791-2812
Phone (818) 633-2809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95021773CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sirorat.krogstadrnp.p1@direct.plannedparenthoodla.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1427770213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 E LARKWOOD ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912812",
            "telephone_number": "818-633-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 E LARKWOOD ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912812",
            "telephone_number": "818-633-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGSTAD",
        "first_name": "SIRORAT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "755110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95021773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.