Individual provider Active NPI

Ana Valentinova Tchicaya, NP

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1780157032
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP95009875 Issued in CA
Practice address
300 Stein Plaza
Los Angeles, CA 90009
Phone
(310) 267-0453
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X NP95009875 CA Primary

Addresses

Primary practice location

300 Stein Plaza
Los Angeles, CA 90009

Mailing address

300 Stein Plaza
Los Angeles, CA 90009
Phone (310) 267-0453

Other names 1

  • Ana Valentinova Tchicaya Missamou Other 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
I20190430002955 CA Practitioner - Nurse Practitioner 0749522308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 Stein PLZ
Suite 420
Los Angeles, CA 90095-0001
Phone (310) 825-5111

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95009875CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Multi-Specialty CurrentSince Feb 1, 2019 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2019 Accepting new patients
UC Regents Multi-Specialty Past Accepting new patients
UCLA Medical Group Multi-Specialty Past Accepting new patients

Locations

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

300 Stein Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 267-2621

File 54206
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 Stein Plz
Los Angeles, CA 90095
Phone (310) 794-8492

3500 Lomita Blvd
Ste M100
Torrance, CA 90505
Phone (310) 325-7404

27235 Tourney Rd
Ste 2500
Valencia, CA 91355
Phone (661) 253-5851

Interoperability endpoints

  • Direct secure messaging: atchicayamissamou674802@direct.uclahealth.org

Organizations & group practices 4

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1780157032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEIN PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90009",
            "telephone_number": "310-267-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEIN PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90009",
            "telephone_number": "310-267-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHICAYA",
        "first_name": "ANA",
        "middle_name": "VALENTINOVA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95009875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "TCHICAYA MISSAMOU",
            "middle_name": "VALENTINOVA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.