Individual provider Active NPI

Eric Osterlind, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Culver City, CA
National Provider Identifier
1679124044
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95013888 Issued in CA
Practice address
8533 Washington Blvd
Culver City, CA 90232-7462
Phone
(562) 485-4512
NPI assigned
Sep 26, 2019
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013888 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 754708 CA

Addresses

Primary practice location

8533 Washington Blvd
Culver City, CA 90232-7462

Mailing address

3630 E Imperial Hwy
Lynwood, CA 90262-2609

Other practice location 1

6695 E Pacific Coast Hwy Ste 135
Long Beach, CA 90803-4235
Phone (562) 431-5100

Other identifiers 1

IdentifierTypeStateIssuer
1245227180MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240827001304 CA Practitioner - Nurse Practitioner 7810436565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleksandra Wirga, M.D., Inc.Group PAC ID 3072649722, 12 clinicians

Practice addresses (Care Compare)

3703 Long Beach Blvd
Suite 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
754708CAMDPsychiatric/Mental Health Registered Nurse
95013888CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viveamind Current Accepting new patients
Aleksandra Wirga, M.D., Inc. CurrentSince Aug 15, 2024 Accepting new patients
Novus Mindful Life Institute PastSince May 1, 2020 Accepting new patients

Locations

3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1679124044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902327462",
            "telephone_number": "562-485-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6695 E Pacific Coast Hwy Ste 135",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908034235",
            "country_code": "US",
            "telephone_number": "562-431-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTERLIND",
        "first_name": "ERIC",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013888",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "754708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245227180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.