Active NPI
Pamela Hoskins, CPSS
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1487296265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1873 W 54TH St
Los Angeles, CA 90062-2604 - Phone
- (562) 400-2912
- Fax
- (310) 349-3660
- NPI assigned
- Oct 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1873 W 54TH St
Los Angeles, CA 90062-2604
Mailing address
1873 W 54TH St
Los Angeles, CA 90062-2604
Phone (562) 400-2912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812735555 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pamjackson31@gmail.com | Create Realistic Change Inc |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1487296265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 W 54TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900622604",
"telephone_number": "562-400-2912",
"fax_number": "310-349-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 W 54TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900622604",
"telephone_number": "562-400-2912",
"fax_number": "310-349-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSKINS",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-12",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812735555",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pamjackson31@gmail.com",
"affiliation": "Y",
"endpointDescription": "Create Realistic Change Inc",
"affiliationName": "Create Realistic Change Inc",
"address_1": "1873 W 54th St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900622604",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.