Individual provider Active NPI

Titsyana Salloum Lucero, RN

  • School Registered Nurse
  • El Segundo, CA
National Provider Identifier
1538969167
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95284130 Issued in CA
Practice address
201 N Douglas St
El Segundo, CA 90245-4637
Phone
(310) 725-5800
NPI assigned
Mar 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X 95284130 CA Primary

Addresses

Primary practice location

201 N Douglas St
El Segundo, CA 90245-4637

Mailing address

201 N Douglas St
El Segundo, CA 90245-4637

Other names 1

  • Titsyana Salloum Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95284130CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1538969167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454637",
            "telephone_number": "310-725-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "TITSYANA",
        "middle_name": "SALLOUM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95284130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TITSYANA",
            "last_name": "SALLOUM",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.