Individual provider Active NPI

Angela Gabrielle Millan, NP

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1437649662
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005548 Issued in CA
Practice address
501 N Glendale Ave
Glendale, CA 91206-3312
Phone
(818) 891-8900
NPI assigned
May 14, 2018
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005548 CA Primary

Addresses

Primary practice location

501 N Glendale Ave
Glendale, CA 91206-3312

Mailing address

501 N Glendale Ave
Glendale, CA 91206-3312
Phone (818) 291-8900

Other practice location 1

6245 De Longpre Ave Ste 206
Los Angeles, CA 90028-8253
Phone (323) 785-1223

Other names 1

  • Angela Millan Bautista Other name

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
I20181018000914 CA Practitioner - Nurse Practitioner 9436414893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

1108 N Oleander Ave
Compton, CA 90222-4041
Phone (310) 763-2244

12021 S Wilmington Ave
Room 1059
Los Angeles, CA 90059-3019

1212 Pico St
San Fernando, CA 91340-3503
Phone (818) 627-3050

123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone (310) 419-5325

501 N Glendale Ave
Glendale, CA 91206-3312
Phone (818) 627-3050

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone (818) 627-3050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 1, 2018 Accepting new patients
County of Los Angeles Current Accepting new patients
Ideal Health Care and Medical Clinic, Inc. Past Accepting new patients
Arnel M Joaquin, MD, Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

501 N Glendale Ave
Glendale, CA 91206
Phone (818) 291-8900

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1437649662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063312",
            "telephone_number": "818-291-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063312",
            "telephone_number": "818-891-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 De Longpre Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900288253",
            "country_code": "US",
            "telephone_number": "323-785-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "ANGELA GABRIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BAUTISTA",
            "middle_name": "MILLAN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.