Active NPI
Rene Urbina, ANP-BC
- Adult Health Nurse Practitioner
- North Hills, CA
National Provider Identifier
1760735245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NPF21282
- Practice address
- 16111 Plummer St BLDG 70
North Hills, CA 91343-2036 - Phone
- (818) 891-7711
- Fax
- (818) 895-5808
- NPI assigned
- Oct 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NPF21282 | CA | Primary |
Addresses
Primary practice location
16111 Plummer St BLDG 70
North Hills, CA 91343-2036
Mailing address
16111 Plummer St BLDG 70
North Hills, CA 91343-2036
Phone (818) 891-7711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rene.urbina.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140528000543 | CA | Order and Referring Only - Nurse Practitioner | 0446473144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF21282 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1760735245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16111 PLUMMER ST BLDG 70",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432036",
"telephone_number": "818-891-7711",
"fax_number": "818-895-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16111 PLUMMER ST BLDG 70",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432036",
"telephone_number": "818-891-7711",
"fax_number": "818-895-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBINA",
"first_name": "RENE",
"name_prefix": "Mr.",
"credential": "ANP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-20",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "NPF21282",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rene.urbina.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.