Active NPI
Advanced Nursing Therapeutics Inc
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1700516945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ADVANCED NURSING THERAPEUTICS INC
- Practice address
- 13323 W Washington Blvd Ste 202
Los Angeles, CA 90066-5163 - Phone
- (310) 279-5010
- NPI assigned
- Jun 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrance Ito, NP
- Title
- Owner
- Phone
- (310) 488-7304
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
13323 W Washington Blvd Ste 202
Los Angeles, CA 90066-5163
Mailing address
22925 Mulberry Glen Dr
Valencia, CA 91354-2017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1932439767
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1457105256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654905600000",
"number": "1700516945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22925 MULBERRY GLEN DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913542017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13323 W WASHINGTON BLVD STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665163",
"telephone_number": "310-279-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED NURSING THERAPEUTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-11",
"last_updated": "2022-06-11",
"certification_date": "2022-06-11",
"status": "A",
"authorized_official_last_name": "ITO",
"authorized_official_first_name": "TERRANCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-488-7304",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.