Mayra Lisette Osuna, AG-ACNP-BC

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

95009366 Issued in CA

Practice address

3630 E Imperial Hwy
Lynwood, CA 90262-2609

Phone

(310) 900-8675

NPI assigned

Jul 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mayra.osuna.p1@direct.ifh.nextgenshare.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.

• Infusion4Health

  • Infusion Therapy Clinic/Center
  • Thousand Oaks, CA
  • NPI 1508262213
  Medicare reassignment NPD

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1669968210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 DEL ESTE CIR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622609",
            "telephone_number": "310-900-8675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23456 Hawthorne Blvd # 240",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054716",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27555 Ynez Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914678",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 University Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256535",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 N Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352626",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 Executive Dr Ste 227",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213020",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031901",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Wilshire Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035743",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Rolling Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611018",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24012 Calle De La Plata Ste 230",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537623",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 N Mountain Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865183",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUNA",
        "first_name": "MAYRA",
        "middle_name": "LISETTE",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "95009366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine Nurse Practitioner in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Critical Care Medicine Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.