Active NPI
Lovely Israel, N.P
- Gerontology Nurse Practitioner
- Santa Monica, CA
National Provider Identifier
1477866879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 16680
- Practice address
- 2730 Wilshire Blvd Ste 320
Santa Monica, CA 90403-4751 - Phone
- (310) 566-0858
- NPI assigned
- Jul 15, 2010
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 16680 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd Ste 320
Santa Monica, CA 90403-4751
Mailing address
2730 Wilshire Blvd Ste 320
Santa Monica, CA 90403-4751
Phone (310) 566-0858
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16680 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin by Lovely | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Santa Monica, CA
- NPI 1992230718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1477866879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD STE 320",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034751",
"telephone_number": "310-566-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD STE 320",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034751",
"telephone_number": "310-566-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "LOVELY",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "16680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.