Active NPI
Endeavors Practice Management, Inc.
- Primary Care Nurse Practitioner
- Winnetka, CA
National Provider Identifier
1750855862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- ENDEAVORS PRACTICE MANAGEMENT, INC.
- Practice address
- 20246 Saticoy St Ste 201
Winnetka, CA 91306-4433 - Phone
- (818) 812-9506
- Fax
- (818) 812-9508
- NPI assigned
- Jan 11, 2019
- 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
- Gemma Paguirigan, NP
- Title
- NP-C
- Phone
- (818) 812-9506
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
20246 Saticoy St Ste 201
Winnetka, CA 91306-4433
Mailing address
20246 Saticoy St Ste 201
Winnetka, CA 91306-4433
Phone (818) 812-9506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190131001423 | CA | Part B Supplier - Clinic/Group Practice | 1951648765 |
Receives reassigned benefits from 6 practitioners Practice locations: Northridge, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547164800000",
"number": "1750855862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20246 SATICOY ST STE 201",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913064433",
"telephone_number": "818-812-9506",
"fax_number": "818-812-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20246 SATICOY ST STE 201",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913064433",
"telephone_number": "818-812-9506",
"fax_number": "818-812-9508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDEAVORS PRACTICE MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A",
"authorized_official_last_name": "PAGUIRIGAN",
"authorized_official_first_name": "GEMMA",
"authorized_official_title_or_position": "NP-C",
"authorized_official_telephone_number": "818-812-9506",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.