Individual provider Active NPI

Raymundo Perez Plasencia, RN

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1548033848
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95219115 Issued in CA
Practice address
137 N Virgil Ave
Los Angeles, CA 90004-4811
Phone
(323) 337-1751
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95219115 CA Primary

Addresses

Primary practice location

137 N Virgil Ave
Los Angeles, CA 90004-4811

Mailing address

4953 Cahuenga Blvd Apt B
North Hollywood, CA 91601-4745
Phone (818) 692-9338

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
95219115CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1548033848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 CAHUENGA BLVD APT B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014745",
            "telephone_number": "818-692-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044811",
            "telephone_number": "323-337-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PLASENCIA",
        "first_name": "RAYMUNDO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95219115",
            "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 Oct 30, 2023; 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.