Individual provider Active NPI

Laura Noriko Anghelus, NP

  • Acute Care Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1750868741
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95009419 Issued in CA
Practice address
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone
(714) 992-3000
Fax
(714) 626-8597
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 95009419 CA
Acute Care Nurse Practitioner 363LA2100X 95009419 CA Primary

Addresses

Primary practice location

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809

Mailing address

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 992-3000

Other practice location 1

1211 W La Palma Ave Ste 404
Anaheim, CA 92801-2806
Phone (714) 772-8282

Other names 1

  • Ms. Laura Masada 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
I20181121001956 CA Practitioner - Nurse Practitioner 9931453305 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20920CAMDOccupational Therapist
95009419CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chest and Critical Care Consultants CurrentSince Sep 1, 2018 Accepting new patients
Chest and Critical Care Consultants a Medical Group Acute Care CurrentSince Sep 1, 2018 Accepting new patients

Locations

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

1211 W La Palma Ave
Ste 207
Anaheim, CA 92801
Phone (714) 772-8282

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1750868741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353809",
            "telephone_number": "714-992-3000",
            "fax_number": "714-626-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353809",
            "telephone_number": "714-992-3000",
            "fax_number": "714-626-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 W La Palma Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928012806",
            "country_code": "US",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGHELUS",
        "first_name": "LAURA",
        "middle_name": "NORIKO",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "95009419",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95009419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MASADA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.