NPIMap

Organization Active NPI

Los Angeles Unified School District

  • Pediatric Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1699187484
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
23764 Issued in CA
Legal business name
LOS ANGELES UNIFIED SCHOOL DISTRICT
Practice address
121 N Beaudry Ave
Los Angeles, CA 90012-2009
Phone
(213) 202-7533
Fax
(213) 580-6557
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Ms. Roberta Villanueva, NPNPI 1174954978
Title
Lead Nurse Practitioner
Phone
(213) 202-7533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 23764 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) 202-7533

National Provider Directory

National Provider Directory
Tax ID family
Lausd 97TH St Valleysmh7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 N Beaudry Ave
Los Angeles, CA 90012
Phone (213) 202-7533

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1699187484",
    "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": "213-202-7533",
            "fax_number": "213-580-6557"
        },
        {
            "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": "213-202-7533",
            "fax_number": "213-580-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "LEAD NURSE PRACTITIONER",
        "authorized_official_telephone_number": "213-202-7533",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "23764",
            "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 May 28, 2014; 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.