Individual provider Active NPI

Gianna Etoile

  • Peer Specialist
  • Los Angeles, CA
National Provider Identifier
1740107291
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-XYCEZF Issued in CA
Practice address
8623 S Vermont Ave Apt 6
Los Angeles, CA 90044-4855
Phone
(323) 781-5238
NPI assigned
Jul 3, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-XYCEZF CA Primary

Addresses

Primary practice location

8623 S Vermont Ave Apt 6
Los Angeles, CA 90044-4855

Mailing address

718 S Alvarado St Apt 310
Los Angeles, CA 90057-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weaspora SPC Peer Specialist Past Accepting new patients

Organizations & group practices 1

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": "1783036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1740107291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S ALVARADO ST APT 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 S VERMONT AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444855",
            "telephone_number": "323-781-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETOILE",
        "first_name": "GIANNA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-XYCEZF",
            "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 Jul 3, 2026; 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.