Joseph Ralph Piccola

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002075 Issued in CA

Practice address

123 Atlantic Ave
Long Beach, CA 90802-5121

Phone

(562) 726-1383

NPI assigned

Apr 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Anaheim Emergency Medical Group

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1114626017
  Medicare reassignment NPD
• Mission Viejo Emergency Medical Associates

  • Emergency Medicine Physician
  • Mission Viejo, CA
  • NPI 1073542916
  Medicare reassignment NPD
• Mission Viejo Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Laguna Beach, CA
  • NPI 1134355597
  Medicare reassignment NPD
• Spectrum Emergency Physicians Group Inc.

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1831783729
  Medicare reassignment NPD
• Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Long Beach, CA
  • NPI 1962893222
  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1508253642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FIRWOOD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044633",
            "telephone_number": "775-720-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025121",
            "telephone_number": "562-726-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLA",
        "first_name": "JOSEPH",
        "middle_name": "RALPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Surgical Care Affiliates
• Keith Piad, SLPA
• Annay Picazo, LCSW
• Holly Piccini
• Maria Piccirilli
• Gabrielle Pickens
• Gloria Picking, M.S.W. ; L.C.S.W.
• Jorge Arturo Pico, MD
• Jordan David Picou
• Pid Associates Medical Group Inc

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.