Individual provider Active NPI

Perla Monzon, AGNP

  • Gerontology Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1699449041
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG07210078 Issued in CA
Practice address
21081 S Western Ave Ste 250
Torrance, CA 90501-1708
Phone
(310) 224-5288
Fax
(310) 224-5290
NPI assigned
Aug 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG07210078 CA
Gerontology Nurse Practitioner 363LG0600X AG07210078 CA Primary

Addresses

Primary practice location

21081 S Western Ave Ste 250
Torrance, CA 90501-1708

Mailing address

1800 Kennedy Dr
Placentia, CA 92870-5565
Phone (949) 616-2391

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
I20220602001135 CA Practitioner - Nurse Practitioner 5799163846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG07210078CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amha Medical Group, Inc. CurrentSince Aug 15, 2021 Accepting new patients
J M Geiss DO Apc CurrentSince May 13, 2022 Accepting new patients

Locations

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

21081 S Western Ave
Ste 250
Torrance, CA 90501
Phone (310) 217-8877

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1699449041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 KENNEDY DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705565",
            "telephone_number": "949-616-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21081 S WESTERN AVE STE 250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011708",
            "telephone_number": "310-224-5288",
            "fax_number": "310-224-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZON",
        "first_name": "PERLA",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "AG07210078",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "AG07210078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.