Individual provider Active NPI

Carina Laura Visona-Pons, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Monrovia, CA
National Provider Identifier
1619257029
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
20541 Issued in CA
Practice address
822 Oakdale Ave
Monrovia, CA 91016
Phone
(626) 357-8543
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20541 CA
Family Nurse Practitioner 363LF0000X 20541 CA
Family Nurse Practitioner 363LF0000X 4704351430 MI
Primary Care Nurse Practitioner 363LP2300X 4704351430 MI
Primary Care Nurse Practitioner 363LP2300X 20541 CA Primary

Addresses

Primary practice location

822 Oakdale Ave
Monrovia, CA 91016

Mailing address

822 Oakdale Ave
Monrovia, CA 91016-3017
Phone (626) 357-8543

Other names 1

  • Carina Laura Visona Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704351430MIMDPrimary Care Nurse Practitioner
20541CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1619257029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 OAKDALE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163017",
            "telephone_number": "626-357-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 OAKDALE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91016",
            "telephone_number": "626-357-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISONA-PONS",
        "first_name": "CARINA",
        "middle_name": "LAURA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704351430",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704351430",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "20541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARINA",
            "last_name": "VISONA",
            "middle_name": "LAURA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.