Lalaine Ruiz-Fortuna Nash, FNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023943 Issued in CA

Practice address

6210 Winans Dr
Los Angeles, CA 90068-2251

Phone

(213) 841-4165

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lalaine Ruiz Fortuna Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• East Valley Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Covina, CA
  • NPI 1831243625
  Medicare reassignment NPD
• East Valley Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Covina, CA
  • NPI 1285046847
  NPD
• East Valley Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pomona, CA
  • NPI 1649324443
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1457057028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 WINANS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682251",
            "telephone_number": "213-841-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 WINANS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682251",
            "telephone_number": "213-841-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "LALAINE",
        "middle_name": "RUIZ-FORTUNA",
        "name_prefix": "Mrs.",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95023943",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LALAINE",
            "last_name": "FORTUNA",
            "middle_name": "RUIZ",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cessi Nash
• Corey Glenn Nash, MSW
• Ereon Nash
• Jacquelyn Nash
• Kevin Nash, MD
• Madison Nash, PA-C
• Michael Javadi Nash, MD, PHD
• Wilma Joan Nash
• Beshoi Nashed
• Yusra Nashnoush

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.