Individual provider Active NPI

Tali Finkelstein Fayfel

  • Family Nurse Practitioner
  • Valley Village, CA
National Provider Identifier
1750622247
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
721144 Issued in CA
Practice address
12626 Riverside Dr Ste 408
Valley Village, CA 91607-3453
Phone
(818) 762-7171
Fax
(818) 762-7117
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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 721144 CA Primary

Addresses

Primary practice location

12626 Riverside Dr Ste 408
Valley Village, CA 91607-3453

Mailing address

1470 Paseo de Oro
Pacific Palisades, CA 90272-1961
Phone (310) 883-3993

Other names 1

  • Tali Finkelstein Former name

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
I20150328000338 CA Practitioner - Nurse Practitioner 7911021753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Care Hospice Inc CurrentSince Jan 1, 2010 Accepting new patients
Tali Fayfel Apc Current Accepting new patients
Sync Hospitalist Medical Group Apc PastSince Dec 31, 2015 Accepting new patients

Locations

12626 Riverside Dr
Ste 408
Valley Village, CA 91607
Phone (323) 656-9111

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
True Care Home Health of Northern California IncCitrus Heights, CA, CCN 757939 Home health agency Operational/Managerial Control (100%) Mar 1, 2022
True Care Hospice IncCanoga Park, CA, CCN 551608 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Jan 1, 2011
Jan 1, 2010
Jan 1, 2010
Jan 1, 2010
True Care Hospice of Northern California, Inc.Citrus Heights, CA, CCN A01761 Hospice Contracted Managing Employee Jan 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1750622247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 PASEO DE ORO",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721961",
            "telephone_number": "310-883-3993",
            "fax_number": "818-762-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 408",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073453",
            "telephone_number": "818-762-7171",
            "fax_number": "818-762-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYFEL",
        "first_name": "TALI",
        "middle_name": "FINKELSTEIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "721144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALI",
            "last_name": "FINKELSTEIN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.