Active NPI
Alna Balilo Portugal, NP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1669813648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22793
- Practice address
- 121 N Beaudry Ave
Los Angeles, CA 90012-2009 - Phone
- (213) 202-7584
- NPI assigned
- Jul 8, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22793 | CA | Primary |
Addresses
Primary practice location
121 N Beaudry Ave
Los Angeles, CA 90012-2009
Mailing address
121 N Beaudry Ave
Los Angeles, CA 90012-2009
Phone (213) 202-7584
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22793 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563667200000",
"number": "1669813648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N BEAUDRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122009",
"telephone_number": "213-202-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N BEAUDRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122009",
"telephone_number": "213-202-7584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTUGAL",
"first_name": "ALNA",
"middle_name": "BALILO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2019-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22793",
"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 Jul 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.