Lovella Medilo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95010904 Issued in CA

Practice address

5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338

Phone

(858) 571-3630

Fax

(858) 295-3948

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zachary C Cohen MD ApcGroup PAC ID 6608260179, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Active Health Services Home health agency, San Diego, CA, CCN 059672

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: californiapain.lovellamedilo@161491.advancedmd-direct.com

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.

• Zachary C Cohen MD Apc

  • Pain Medicine Physician
  • San Diego, CA
  • NPI 1689334468
  Medicare reassignment Care Compare group NPD
• Pain Center - San Diego PC

  • Clinic/Center
  • San Diego, CA
  • NPI 1538710611
  NPD
• Zachary C Cohen MD Apc

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1790589570
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medi-Art Home Health Care, Inc.

  • Home Health Agency
  • San Diego, CA
  • NPI 1598174104
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1659930485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDILO",
        "first_name": "LOVELLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP020368",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicine Made Easy
• Medicine of the Peace Corp.
• Medicine World Inc
• Medicity Transportation Service LLC
• Medicus MD Inc
• Yazmin Elizabeth Medina Alcantar
• Antonio Sebastian Medina Flores
• Roger Medina Hernandez
• Arlyn Patricia Medina Mena
• Jorge Armando Medina Ontiveros

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.

Verify at the official NPI Registry.