Individual provider Active NPI

Diva Christy Lugatiman, FNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1609435940
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
757605 Issued in CA
Practice address
1800 Vine St Ste 221
Los Angeles, CA 90028-5250
Phone
(213) 943-2490
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 757605 CA
Family Nurse Practitioner 363LF0000X 757605 CA Primary

Addresses

Primary practice location

1800 Vine St Ste 221
Los Angeles, CA 90028-5250

Mailing address

437 S Empire St
Anaheim, CA 92804-2430
Phone (714) 309-3403

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
I20191023002209 CA Practitioner - Nurse Practitioner 0648502716 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 8, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 8, 2024 Accepting new patients
Concertocare Medical Group of California, P.C. CurrentSince Jan 13, 2025 Accepting new patients
Concertocare Medical of New Jersey, PC CurrentSince Jan 19, 2025 Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1800 Vine St
Ste 221
Los Angeles, CA 90028
Phone (213) 943-2490

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: dpalma@landmarkhealth-direct.org

Organizations & group practices 5

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1609435940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S EMPIRE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042430",
            "telephone_number": "714-309-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VINE ST STE 221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285250",
            "telephone_number": "213-943-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGATIMAN",
        "first_name": "DIVA CHRISTY",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "757605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "757605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.