Individual provider Active NPI

Nicole Laniece Robinson, FNP

  • Family Nurse Practitioner
  • Harbor City, CA
National Provider Identifier
1619457991
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95009412 Issued in CA
Practice address
25825 Vermont Ave
Harbor City, CA 90710-3518
Phone
(424) 328-2594
NPI assigned
Aug 16, 2018
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 NP95009412 CA Primary

Addresses

Primary practice location

25825 Vermont Ave
Harbor City, CA 90710-3518

Mailing address

451 E 229TH St
Carson, CA 90745-4915
Phone (310) 800-0716

Other practice location 1

511 N Hollywood Way
Burbank, CA 91505-3406
Phone (877) 993-4321

Other names 1

  • Nicole Laniece Wilson Former name

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
I20210316002255 CA Practitioner - Nurse Practitioner 0547676553 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95009412CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Dec 4, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 19, 2024 Accepting new patients
Palliative Care Doctors Group, Inc CurrentSince Mar 26, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Babak Roozrokh, MD Inc CurrentSince Mar 26, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 18, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 19, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 18, 2024 Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

19121 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 422-9701

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 234-6600

1700 Westwood Blvd
Ste 2D
Los Angeles, CA 90024
Phone (310) 475-4865

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone 9513033164 ext. 8221

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1619457991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E 229TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454915",
            "telephone_number": "310-800-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25825 VERMONT AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103518",
            "telephone_number": "424-328-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N Hollywood Way",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915053406",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NICOLE",
        "middle_name": "LANIECE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009412",
            "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": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WILSON",
            "middle_name": "LANIECE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.