Individual provider Active NPI

Maria Lourdes Cabula, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1477037828
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010421 Issued in CA
Practice address
2807 W Avenue 30
Los Angeles, CA 90065-1303
Phone
(213) 265-4106
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 676767 CA
Nurse Practitioner 363L00000X 95010421 CA Primary

Addresses

Primary practice location

2807 W Avenue 30
Los Angeles, CA 90065-1303

Mailing address

2807 W Avenue 30
Los Angeles, CA 90065-1303
Phone (213) 265-4106

Other identifiers 1

IdentifierTypeStateIssuer
F09180155OtherCAAANP

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
I20200205002898 CA Practitioner - Nurse Practitioner 5991131138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8300 W 3Rd St
Los Angeles, CA 90048-4311
Phone (323) 653-3344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
676767CAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Static Health and Wellness Inc a Professional Corporation CurrentSince Dec 9, 2025 Accepting new patients
Nasrin Moghadasian Chiropractic, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Marinaro Chiropractic Inc. PastSince Jun 3, 2012 Accepting new patients

Locations

8300 W 3rd St
Los Angeles, CA 90048
Phone (323) 653-3344

412 S Pacific Coast Hwy
Ste 100
Redondo Beach, CA 90277
Phone (310) 792-9100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1477037828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 W AVENUE 30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651303",
            "telephone_number": "213-265-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 W AVENUE 30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651303",
            "telephone_number": "213-265-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABULA",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "676767",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F09180155",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.