Active NPI
Alexander Luis Interiano, MSN, APRN, NP
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1609407402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95013791
- Practice address
- 3727 W 6TH St Ste 200
Los Angeles, CA 90020-5108 - Phone
- (213) 235-2500
- NPI assigned
- Jan 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95013791 | CA | Primary |
Addresses
Primary practice location
3727 W 6TH St Ste 200
Los Angeles, CA 90020-5108
Mailing address
3630 Marathon St Apt 301
Los Angeles, CA 90026-2868
Other practice location 1
3630 Marathon St Apt 301
Los Angeles, CA 90026-2868
Phone (626) 940-8691
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 N Reno St
Los Angeles, CA 90026-4656
Phone (213) 380-7298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1104075282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1609407402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 MARATHON ST APT 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900262868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 W 6TH ST STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205108",
"telephone_number": "213-235-2500"
}
],
"practiceLocations": [
{
"address_1": "3630 Marathon St Apt 301",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900262868",
"country_code": "US",
"telephone_number": "626-940-8691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INTERIANO",
"first_name": "ALEXANDER",
"middle_name": "LUIS",
"credential": "MSN, APRN, NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95013791",
"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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.