Active NPI
Karissa Enojas
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95027326
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95027326 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Wound Solutions P.C. | Current | Accepting new patients | |
| Empire Wound Care | Current | Accepting new patients | |
| Healing Edge Medical Group - Ca | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| California Wound Healing Medical Group Inc. | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| Global Wound Care Medical Group | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| New Hope Podiatry Group Inc. | Past | 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.
-
- General Practice Physician
- San Bernardino, CA
- NPI 1861361529
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1235333972
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1982432506
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- General Practice Physician
- Los Angeles, CA
- NPI 1184590598
-
- Clinic/Center
- Chatsworth, CA
- NPI 1871481168
-
- General Practice Physician
- Monrovia, CA
- NPI 1710796792
-
- General Practice Physician
- Los Angeles, CA
- NPI 1235831132
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1528662582
-
- Foot & Ankle Surgery Podiatrist
- Alhambra, CA
- NPI 1447670955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.