Active NPI
Chanel Christine Ferrante
- Primary Care Nurse Practitioner
- Malibu, CA
National Provider Identifier
1770099665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP95007297
- Practice address
- 23661 Pacific Coast Hwy
Malibu, CA 90265-4825 - Phone
- (310) 456-1603
- Fax
- (310) 456-5697
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP95007297 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | NP95007297 | CA | |
| Occupational Health Nurse Practitioner | 363LX0106X | NP95007297 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | NP95007297 | CA | Primary |
Addresses
Primary practice location
23661 Pacific Coast Hwy
Malibu, CA 90265-4825
Mailing address
23661 Pacific Coast Hwy
Malibu, CA 90265-4825
Phone (310) 456-1603
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95007297 | CA | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- chanel.ferrante.1@27211.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1770099665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23661 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654825",
"telephone_number": "310-456-1603",
"fax_number": "310-456-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23661 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654825",
"telephone_number": "310-456-1603",
"fax_number": "310-456-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRANTE",
"first_name": "CHANEL",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "NP95007297",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "NP95007297",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "NP95007297",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95007297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.