Individual provider Active NPI

Angela Cash

  • Gerontology Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1699210500
Registry record updated Dec 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95005763 Issued in CA
Practice address
1171 S Robertson Blvd Ste 242
Los Angeles, CA 90035-1403
Phone
(626) 765-4321
NPI assigned
Dec 31, 2016
Last updated
Dec 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95005763 CA Primary

Addresses

Primary practice location

1171 S Robertson Blvd Ste 242
Los Angeles, CA 90035-1403

Mailing address

1417 E Kramer Dr
Carson, CA 90746-2667
Phone (808) 494-6760

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
I20170227000719 CA Practitioner - Nurse Practitioner 8022392695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecall MD IncGroup PAC ID 7012155476, 2 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90035
Phone (626) 765-4321

1171 S Robertson Blvd
Suite 242
Los Angeles, CA 90035-1403

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as apm
Quality
57.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005763CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall MD,Inc CurrentSince Jan 10, 2017 Accepting new patients
Goldencast Medical Corporation PastSince May 1, 2008 Accepting new patients

Locations

1171 S Robertson Blvd
Los Angeles, CA 90035
Phone (626) 442-5200

1494 S Robertson Blvd
Ste 200
Los Angeles, CA 90035
Phone (626) 442-5200

Organizations & group practices 2

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 2

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": "1483142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1699210500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 E KRAMER DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462667",
            "telephone_number": "808-494-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD STE 242",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "626-765-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASH",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-31",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95005763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.