Individual provider Active NPI

Patrick Joseph Halili, DNP, FNP-C

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1528567427
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008467 Issued in CA
Practice address
1040 Elm Ave Ste 200
Long Beach, CA 90813-3266
Phone
(562) 624-4999
Fax
(562) 491-9128
NPI assigned
Feb 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95008467 CA Primary

Addresses

Primary practice location

1040 Elm Ave Ste 200
Long Beach, CA 90813-3266

Mailing address

5825 Lincoln Ave Ste D
#112
Buena Park, CA 90620-3474
Phone (562) 542-0319

Other practice location 1

1535 E 17th St Ste 106
Santa Ana, CA 92705-8519
Phone (562) 542-0319

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
I20180504002014 CA Practitioner - Nurse Practitioner 2365706082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95008467CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.josephhalili.p1@direct.careclinic.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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1528567427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LINCOLN AVE STE D",
            "address_2": "#112",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203474",
            "telephone_number": "562-542-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133266",
            "telephone_number": "562-624-4999",
            "fax_number": "562-491-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 E 17th St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058519",
            "country_code": "US",
            "telephone_number": "562-542-0319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALILI",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.