Active NPI
Alan Patrick Hermanson, FAMILY NURSE PRACTIT
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1659697043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 246230
- Practice address
- 4650 Sunset Boulevard
Mail Stop 125, Childrens Hospital Los Angeles
Los Angeles, CA 90027 - Phone
- (323) 361-4207
- Fax
- (323) 361-8095
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 246230 | CA | Primary |
Addresses
Primary practice location
4650 Sunset Boulevard
Mail Stop 125, Childrens Hospital Los Angeles
Los Angeles, CA 90027
Mailing address
4650 Sunset Boulevard
Mail Stop 125, Childrens Hospital Los Angeles
Los Angeles, CA 90027
Phone (323) 361-4207
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 |
|---|---|---|---|
| 246230 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1659697043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 SUNSET BOULEVARD",
"address_2": "MAIL STOP 125, CHILDRENS HOSPITAL LOS ANGELES",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-361-4207",
"fax_number": "323-361-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 SUNSET BOULEVARD",
"address_2": "MAIL STOP 125, CHILDRENS HOSPITAL LOS ANGELES",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-361-4207",
"fax_number": "323-361-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANSON",
"first_name": "ALAN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "246230",
"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 Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.