Individual provider Active NPI

Arlizbeth Estrada Arizanga Luna, NURSE PRACTITIONER

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1518314616
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95004246 Issued in CA
Practice address
5230 Pacific Concourse Dr
Suite 100
Los Angeles, CA 90045-6200
Phone
(310) 297-9221
Fax
(310) 297-9222
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95004246 CA Primary

Addresses

Primary practice location

5230 Pacific Concourse Dr
Suite 100
Los Angeles, CA 90045-6200

Mailing address

5230 Pacific Concourse Drive
Suite 100
Los Angeles, CA 90045-6279
Phone (310) 297-9221

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
I20160727000721 CA Practitioner - Nurse Practitioner 4688967755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Arthritis Care Center IncGroup PAC ID 1557375094, 3 clinicians

Practice addresses (Care Compare)

5230 Pacific Concourse Dr
Suite 100
Los Angeles, CA 90045-6279
Phone (310) 297-9221

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004246CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Arthritis Care Center Inc. CurrentSince Jul 1, 2017 Accepting new patients

Locations

5230 Pacific Concourse Dr
Ste 100
Los Angeles, CA 90045
Phone (310) 297-9221

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: arlizbeth.arizangaluna.p1@direct.aasc.nextgenshare.com

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1518314616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 PACIFIC CONCOURSE DRIVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456279",
            "telephone_number": "310-297-9221",
            "fax_number": "310-297-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 PACIFIC CONCOURSE DR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456200",
            "telephone_number": "310-297-9221",
            "fax_number": "310-297-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZANGA LUNA",
        "first_name": "ARLIZBETH",
        "middle_name": "ESTRADA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.