Individual provider Active NPI

Christine Duva Warhaft, FNP-C

  • Family Nurse Practitioner
  • Manhattan Beach, CA
National Provider Identifier
1629494919
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000308 Issued in CA
Practice address
111 N Sepulveda Blvd
Manhattan Beach, CA 90266-6861
Phone
(310) 379-2134
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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 95000308 CA Primary

Addresses

Primary practice location

111 N Sepulveda Blvd
Manhattan Beach, CA 90266-6861

Mailing address

111 N Sepulveda Blvd
Manhattan Beach, CA 90266-6861
Phone (310) 379-2134

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
I20150113000010 CA Practitioner - Nurse Practitioner 2062736457 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Park Emergency Physicians, Inc CurrentSince Oct 19, 2014 Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. CurrentSince Jun 17, 2020 Accepting new patients
Beach Emergency Medical Associates CurrentSince Nov 1, 2015 Accepting new patients

Locations

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

111 N Sepulveda Blvd
Ste 210
Manhattan Beach, CA 90266
Phone (310) 714-7852

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

Organizations & group practices 3

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1629494919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666861",
            "telephone_number": "310-379-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666861",
            "telephone_number": "310-379-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARHAFT",
        "first_name": "CHRISTINE",
        "middle_name": "DUVA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.