Individual provider Active NPI

Nina Victoria Rochelle, P.A.

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1497877138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 11485 Issued in CA
Practice address
3130 S Hill St
Los Angeles, CA 90007-3817
Phone
(213) 747-7267
Fax
(213) 747-4835
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 11485 CA Primary

Addresses

Primary practice location

3130 S Hill St
Los Angeles, CA 90007-3817

Mailing address

1933 S Oxford Ave
Los Angeles, CA 90018-1520
Phone (323) 731-9744

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 11485CAMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497877138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 S OXFORD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181520",
            "telephone_number": "323-731-9744",
            "fax_number": "323-731-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073817",
            "telephone_number": "213-747-7267",
            "fax_number": "213-747-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHELLE",
        "first_name": "NINA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 11485",
            "primary": true
        }
    ],
    "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.