Individual provider Active NPI

Christopher Samonte Nuesa, F.N.P.

  • Family Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1609201185
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23530 Issued in CA
Practice address
25877 McBean Pkwy Unit 47
Valencia, CA 91355-2062
Phone
(818) 415-3370
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 23530 CA Primary

Addresses

Primary practice location

25877 McBean Pkwy Unit 47
Valencia, CA 91355-2062

Mailing address

25877 McBean Pkwy Unit 47
Valencia, CA 91355-2062
Phone (818) 415-3370

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 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
I20150226000056 CA Practitioner - Nurse Practitioner 7214253830 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23530CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc CurrentSince Sep 1, 2017 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 21, 2020 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

43112 15th St W
Lancaster, CA 93534
Phone (661) 726-2222

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Interoperability endpoints

  • Direct secure messaging: chn219pcs@m1606.primeclinicalsystems.direct-ci.com

Organizations & group practices 4

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1609201185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25877 MCBEAN PKWY UNIT 47",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552062",
            "telephone_number": "818-415-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25877 MCBEAN PKWY UNIT 47",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552062",
            "telephone_number": "818-415-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUESA",
        "first_name": "CHRISTOPHER",
        "middle_name": "SAMONTE",
        "name_prefix": "Mr.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23530",
            "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",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "43112 N 15th St",
            "city": "LANCASTER",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935346219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.