Individual provider Active NPI

Jeannette Rossana Pineda-Barahona, RN, PHN

  • Case Management Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1669747259
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
615802 Issued in CA
Practice address
600 S Commonwealth Ave
Suite 800 NFP-la Program
Los Angeles, CA 90005-4001
Phone
(818) 441-9416
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 615802 CA Primary

Addresses

Primary practice location

600 S Commonwealth Ave
Suite 800 NFP-la Program
Los Angeles, CA 90005-4001

Mailing address

600 S Commonwealth Ave
Suite 800 NFP-la Program
Los Angeles, CA 90005-4001
Phone (818) 441-9416

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
615802CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1669747259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S COMMONWEALTH AVE",
            "address_2": "SUITE 800 NFP-LA PROGRAM",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054001",
            "telephone_number": "818-441-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COMMONWEALTH AVE",
            "address_2": "SUITE 800 NFP-LA PROGRAM",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054001",
            "telephone_number": "818-441-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA-BARAHONA",
        "first_name": "JEANNETTE",
        "middle_name": "ROSSANA",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "615802",
            "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 Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.