Individual provider Active NPI

Ingrida Klausa, NP

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1689967960
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
20230 Issued in CA
Practice address
200 UCLA Medical PLZ Ste 214
Los Angeles, CA 90095-1049
Phone
(310) 794-7788
Fax
(310) 794-4337
NPI assigned
May 19, 2011
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 20230 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ Ste 214
Los Angeles, CA 90095-1049

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other names 1

  • Ingrida Shin Former name

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
I20170223002189 CA Practitioner - Nurse Practitioner 1759665433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCLA Associated General SurgeonsGroup PAC ID 6002728144, 46 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 267-7838

1260 15TH St
Suite 1200
Santa Monica, CA 90404-1147
Phone (310) 451-8751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
69.77
Promoting interoperability
100
Improvement activities
40
Cost
82.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
713861CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Associated General Surgeons CurrentSince Feb 20, 2018 Accepting new patients
Regents Univ of Calif Los Angeles PastSince Dec 29, 2019 Accepting new patients
The Regents of the University of California PastSince Dec 29, 2019 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 54206
Los Angeles, CA 90074

1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751

Interoperability endpoints

  • Direct secure messaging: iklausa609608@direct.uclahealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1689967960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951049",
            "telephone_number": "310-794-7788",
            "fax_number": "310-794-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUSA",
        "first_name": "INGRIDA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "20230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRIDA",
            "last_name": "SHIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.