Individual provider Active NPI

Irma Leticia Salguero Ortiz, NP

  • Acute Care Nurse Practitioner
  • Lynwood, CA
National Provider Identifier
1497321590
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95013782 Issued in CA
Practice address
3737 Martin Luther King Jr Blvd Ste 333
Lynwood, CA 90262-3528
Phone
(323) 562-3414
NPI assigned
May 29, 2021
Last updated
May 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95013782 CA Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd Ste 333
Lynwood, CA 90262-3528

Mailing address

4155 Grey Stone Dr
Yorba Linda, CA 92886-1659
Phone (310) 995-5403

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
I20231007000466 CA Practitioner - Nurse Practitioner 2466807649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meher F Tabatabai M D IncGroup PAC ID 3173695111, 8 clinicians

Practice addresses (Care Compare)

3621 Martin Luther King Jr Blvd
Suite 6
Lynwood, CA 90262-3512
Phone (310) 537-1503

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meher F Tabatabai MD Inc CurrentSince Aug 14, 2023 Accepting new patients
Atlantic Avenue Medical Clinic PastSince Jun 6, 2021 Accepting new patients

Locations

3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1497321590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 GREY STONE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861659",
            "telephone_number": "310-995-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 333",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623528",
            "telephone_number": "323-562-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGUERO ORTIZ",
        "first_name": "IRMA",
        "middle_name": "LETICIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95013782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.