Active NPI
Nelida Zevallos
- Registered Nurse
- Los Angeles, CA
National Provider Identifier
1639772601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95058922
- Practice address
- 1720 E Cesar Chavez Ave.
Los Angeles, CA 90033 - Phone
- (323) 268-5000
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95058922 | CA | Primary |
Addresses
Primary practice location
1720 E Cesar Chavez Ave.
Los Angeles, CA 90033
Mailing address
359 S Scott Ave
Azusa, CA 91702-5040
Phone (626) 679-4770
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | zevalln@ah.org |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95058922 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1639772601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 S SCOTT AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917025040",
"telephone_number": "626-679-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E CESAR CHAVEZ AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-268-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEVALLOS",
"first_name": "NELIDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95058922",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zevalln@ah.org",
"affiliation": "N",
"address_1": "1720 E Cesar Chavez Ave.",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "90033",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.