Individual provider Active NPI

Carmen Luisa Arias Perez, FNP-C

  • Family Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1699489435
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023414 Issued in CA
Practice address
1091 S la Brea Ave
Inglewood, CA 90301-3817
Phone
(310) 392-8636
Fax
(310) 943-3521
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023414 CA Primary

Addresses

Primary practice location

1091 S la Brea Ave
Inglewood, CA 90301-3817

Mailing address

1091 S la Brea Ave
Inglewood, CA 90301-3817
Phone (310) 392-8636

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
I20230919002098 CA Practitioner - Nurse Practitioner 3577927979 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Health Center CurrentSince Feb 1, 2023 Accepting new patients
Westside Family Health Center CurrentSince Jul 29, 2023 Accepting new patients
Advanced Nursing Healthcare Services Inc Family PastSince Dec 22, 2024 Accepting new patients
Montecristo Medical PC PastSince Jan 1, 2023 Accepting new patients

Locations

3861 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 450-2191

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHCCA
  • Direct secure messaging: nariasperez763476@direct.ochin.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.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1699489435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013817",
            "telephone_number": "310-392-8636",
            "fax_number": "310-943-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013817",
            "telephone_number": "310-392-8636",
            "fax_number": "310-943-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS PEREZ",
        "first_name": "CARMEN",
        "middle_name": "LUISA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.