Pushpa Latta, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017065 Issued in CA

Practice address

555 Fremont St
Colusa, CA 95932-2534

Phone

(530) 458-8635

NPI assigned

Apr 6, 2021

Last updated

May 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colusa Medical Center Home Health Home health agency, Colusa, CA, CCN 553155
• Freedom Home Health and Hospice Care Services, Inc Home health agency, Marysville, CA, CCN 059685
• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Colusa Medical Center Hospital, Colusa, CA, CCN 050783
• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pushpa.latta@ampla.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
  • NPI 1952333635
  Medicare reassignment Care Compare group NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1881613669
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Yuba City, CA
  • NPI 1952326811
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Colusa, CA
  • NPI 1477586808
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colusa Medical Center LLC

  dba Colusa Medical Center

  • Rural Acute Care Hospital
  • Colusa, CA
  • NPI 1215475124
  Care Compare affiliation
• Colusa Medical Center LLC

  dba Progressive Home Health

  • Home Health Agency
  • Colusa, CA
  • NPI 1558800243
  Care Compare affiliation
• Freedom Home Health and Hospice Care Services Inc.

  • Home Health Agency
  • Marysville, CA
  • NPI 1720404288
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Rideout Memorial Hospital

  dba Adventist Health and Rideout

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1770162794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FREMONT ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322534",
            "telephone_number": "530-458-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FREMONT ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322534",
            "telephone_number": "530-458-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTA",
        "first_name": "PUSHPA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Jimenez
• Arthur Johnson
• Heloise Laparra
• Veronica Lara
• Diana Lorraine Larsen, NP
• Lawrence M. Highman, M.D., Inc.
• Kelly Lawrence
• Le Tam MD PC
• Arlene Lopez-Valenzuela
• Marco Lopez, RDH

• Family Nurse Practitioner in Colusa, CA
• Providers in Colusa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.