Active NPI
Maureen Alexandria
- Adult Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1457183428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95029570
- Practice address
- 1860 S Sepulveda Blvd
Los Angeles, CA 90025-4314 - Phone
- (310) 494-2507
- NPI assigned
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95029570 | CA | Primary |
Addresses
Primary practice location
1860 S Sepulveda Blvd
Los Angeles, CA 90025-4314
Mailing address
1215 N Olive Dr Apt 403
West Hollywood, CA 90069-2753
Phone (216) 978-1599
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95029570 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1457183428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N OLIVE DR APT 403",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900692753",
"telephone_number": "216-978-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254314",
"telephone_number": "310-494-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDRIA",
"first_name": "MAUREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95029570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.