Javier Tiscareno, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN504249 Issued in CA

Practice address

221 Westwood PLZ
Los Angeles, CA 90095-1703

Phone

(310) 794-7897

Fax

(310) 206-1996

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Javier Tiscareno Aguilar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1467571844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-794-7897",
            "fax_number": "310-206-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-794-7897",
            "fax_number": "310-206-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCARENO",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "RN504249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "TISCARENO AGUILAR",
            "prefix": "MR.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abdullah Tirmizi, DO
• Santoso Tirtawidjaja, DDS
• Esuyawkal Tameru Tiruneh
• Andrew Tisbert
• Audrey Tiscareno
• Jesse Tischler, CMT
• Phyllis Kirby Tisdale, FNP
• David Mark Tishler, MD
• Tison Dental Corporation, Inc.
• Agnes C Tison, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.