Individual provider Active NPI

John De Vera, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1437891561
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020629 Issued in CA
Practice address
6245 De Longpre Ave FL 2
Los Angeles, CA 90028-8253
Phone
(323) 499-1350
NPI assigned
Apr 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95020629 CA Primary

Addresses

Primary practice location

6245 De Longpre Ave FL 2
Los Angeles, CA 90028-8253

Mailing address

6245 De Longpre Ave FL 2
Los Angeles, CA 90028-8253
Phone (323) 499-1350

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
I20220727004174 CA Practitioner - Nurse Practitioner 0244627966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Humanity Medical Group IncGroup PAC ID 9638526452, 4 clinicians

Practice addresses (Care Compare)

3440 Wilshire Blvd
Suite 1208
Los Angeles, CA 90010-2125
Phone (805) 980-7574

Hospital & facility affiliations

  • Arcam Home Health Care Home health agency, Valencia, CA, CCN 559033
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prode P. Pascual, M.D., Inc. Single Specialty CurrentSince Dec 27, 2025 Accepting new patients
Bartz-Altadonna Community Health Center Single Specialty CurrentSince Jun 27, 2022 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Jun 27, 2022 Accepting new patients
Humanity Medical Group Inc. Single Specialty CurrentSince Feb 1, 2026 Accepting new patients

Locations

43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317

1720 E Los Angeles Ave
Ste 231
Simi Valley, CA 93065
Phone 8054565884 ext. 103

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1437891561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 DE LONGPRE AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288253",
            "telephone_number": "323-499-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 DE LONGPRE AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288253",
            "telephone_number": "323-499-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.