Individual provider Active NPI

Karissa Enojas

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1659150613
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027326 Issued in CA
Practice address
808 W 58TH St
Los Angeles, CA 90037-3632
Phone
(323) 541-1411
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027326 CA Primary

Addresses

Primary practice location

808 W 58TH St
Los Angeles, CA 90037-3632

Mailing address

808 W 58TH St
Los Angeles, CA 90037-3632

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
I20231204000258 CA Practitioner - Nurse Practitioner 2264880129 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
California Wound Healing Medical Group Inc.Group PAC ID 7315033198, 21 clinicians
Alpha Wound Solutions PCGroup PAC ID 3375037443, 6 clinicians

Practice addresses (Care Compare)

100 E Huntington Dr
Alhambra, CA 91801-1022
Phone (323) 264-7796

275 W Hospitality LN
Suite 310
San Bernardino, CA 92408-3265
Phone (951) 229-8408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027326CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Wound Solutions P.C. CurrentSince Dec 10, 2025 Accepting new patients
Empire Wound Care CurrentSince Mar 31, 2025 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince Feb 2, 2026 Accepting new patients
St. Johns Community Health CurrentSince Oct 20, 2023 Accepting new patients
California Wound Healing Medical Group Inc. CurrentSince Dec 16, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
Global Wound Care Medical Group CurrentSince May 6, 2024 Accepting new patients
St. Johns Community Health CurrentSince Oct 20, 2023 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

100 E Huntington Dr
Ste 203
Alhambra, CA 91801

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

275 W Hospitality Ln
Ste 310
San Bernardino, CA 92408
Phone (951) 229-8408

Organizations & group practices 11

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": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1659150613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-541-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOJAS",
        "first_name": "KARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.