Individual provider Active NPI

Nilza Wangmo Lal, APRN

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1568917524
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NPF95013153 Issued in CA
Practice address
4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Phone
(818) 571-9745
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN002247 NV
Gerontology Nurse Practitioner 363LG0600X APRN002247 NV
Adult Health Nurse Practitioner 363LA2200X NPF95013153 CA Primary

Addresses

Primary practice location

4081 E Olympic Blvd
Los Angeles, CA 90023-3330

Mailing address

22052 Halsted St
Chatsworth, CA 91311-4066
Phone (818) 571-9745

Other practice location 1

7391 W Charleston Blvd
Suite 140
Las Vegas, NV 89117-1501
Phone (702) 304-2144

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161116002460 NV Practitioner - Nurse Practitioner 3779862644 Reassigns benefits to 1 organization
I20210715003450 CA Practitioner - Nurse Practitioner 3779862644 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95013153CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Arinder Chadha MD Inc. CurrentSince Jun 14, 2021 Accepting new patients

Locations

1148 S Rowan Ave
Los Angeles, CA 90023
Phone (323) 261-6173

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

Organizations & group practices 3

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1568917524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22052 HALSTED ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114066",
            "telephone_number": "818-571-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 E OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233330",
            "telephone_number": "818-571-9745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7391 W Charleston Blvd",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171501",
            "country_code": "US",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "NILZA",
        "middle_name": "WANGMO",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-10-27",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APRN002247",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN002247",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NPF95013153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.