Individual provider Active NPI

Leah Edoloverio, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1487543278
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP95034262 Issued in CA
Practice address
344 W Chevy Chase Dr Apt 14
Glendale, CA 91204-2275
Phone
(818) 681-4078
NPI assigned
Jun 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP95034262 CA Primary

Addresses

Primary practice location

344 W Chevy Chase Dr Apt 14
Glendale, CA 91204-2275

Mailing address

344 W Chevy Chase Dr Apt 14
Glendale, CA 91204-2275
Phone (818) 681-4078

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
I20251006003463 CA Practitioner - Nurse Practitioner 6901303130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

438 E Katella Ave
Orange, CA 92867-4839
Phone (714) 880-9353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95034262CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Medical Group CurrentSince Sep 22, 2025 Accepting new patients
JRD Medical Group Past Accepting new patients

Locations

438 E Katella Ave
Ste 226
Orange, CA 92867
Phone (760) 687-6968

Organizations & group practices 2

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": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1487543278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 W CHEVY CHASE DR APT 14",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042275",
            "telephone_number": "818-681-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 W CHEVY CHASE DR APT 14",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042275",
            "telephone_number": "818-681-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOLOVERIO",
        "first_name": "LEAH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95034262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.