Active NPI
Angela Lynn Patel, CRNP-AC
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95019693
- Practice address
- 200 UCLA Medical PLZ Ste 330
Los Angeles, CA 90095-8344 - Phone
- (310) 267-7667
- NPI assigned
- Jan 10, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95019693 | CA | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 95019693 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 95019693 | CA |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 330
Los Angeles, CA 90095-8344
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 825-6301
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019693 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Pediatric Cardiology | Current | Accepting new patients |
Locations
10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124
200 UCLA Medical Plz
Ste 330
Los Angeles, CA 90095
Phone (310) 267-7667
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
892 Aerovista Pl
Ste 210
San Luis Obispo, CA 93401
Phone (805) 549-8023
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1497416614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 330",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-267-7667"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958358",
"country_code": "US",
"telephone_number": "310-825-6301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "CRNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95019693",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "95019693",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95019693",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.