Individual provider Active NPI

Eden B Dabalus, NP

  • Family Nurse Practitioner
  • El Segundo, CA
National Provider Identifier
1477061232
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008189 Issued in CA
Practice address
2321 Rosecrans Ave Ste 5200-46
El Segundo, CA 90245-4903
Phone
(213) 537-6956
NPI assigned
Jan 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008189 CA
Family Nurse Practitioner 363LF0000X 95008189 CA Primary

Addresses

Primary practice location

2321 Rosecrans Ave Ste 5200-46
El Segundo, CA 90245-4903

Mailing address

2321 Rosecrans Ave Ste 5200
El Segundo, CA 90245-4936

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
I20191218003187 CA Practitioner - Nurse Practitioner 4183058456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osher Resources IncGroup PAC ID 3072832609, 3 clinicians
ZenmedicineGroup PAC ID 3577800390, 9 clinicians

Practice addresses (Care Compare)

Gardena, CA 90247
Phone (213) 537-6956

6350 Laurel Canyon Blvd
Suite 205
North Hollywood, CA 91606-3278
Phone (818) 325-2090

741 S Orange Ave
Suite 100
West Covina, CA 91790-2662
Phone (626) 960-7117

Hospital & facility affiliations

  • Vitality First Home Health Care Home health agency, N Hollywood, CA, CCN 559644
  • Queen of the Valley Home Health, Inc Home health agency, Sun Valley, CA, CCN 559407

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osher Resources Inc CurrentSince Oct 16, 2019 Accepting new patients
A&E Professional Medical Group and Nursing Corporation CurrentSince Jul 22, 2022 Accepting new patients
Zenmedicine CurrentSince Jun 22, 2025 Accepting new patients
Hope Professional Medical Group & Nursing Corporation Family Current Accepting new patients
Mobile Physicians Medical Allied Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Global Mobile Medical Alliances, Inc. PastSince Mar 23, 2022 Accepting new patients

Locations

2321 Rosecrans Ave
Ste 5200
El Segundo, CA 90245
Phone (213) 537-6956

6816 Pacific Blvd
Ste 210
Huntington Park, CA 90255
Phone (714) 779-8329

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

741 S Orange Ave
Ste 100
West Covina, CA 91790
Phone (626) 338-5581

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

Interoperability endpoints

  • Direct secure messaging: eden.dabalusrnp.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 6

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1477061232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 ROSECRANS AVE STE 5200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ROSECRANS AVE STE 5200-46",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454903",
            "telephone_number": "213-537-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABALUS",
        "first_name": "EDEN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.