Individual provider Active NPI

Michael Neil V. Omega, NP

  • Ambulatory Care Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1780562843
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
750181 Issued in CA
Practice address
212 S Hill St
Los Angeles, CA 90012-3503
Phone
(213) 791-2770
NPI assigned
Aug 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 750181 CA Primary

Addresses

Primary practice location

212 S Hill St
Los Angeles, CA 90012-3503

Mailing address

212 S Hill St
Los Angeles, CA 90012-3503
Phone (818) 378-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

202 N Burlington Ave
Apt 6
Los Angeles, CA 90026-5438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
750181CAMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1780562843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123503",
            "telephone_number": "818-378-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123503",
            "telephone_number": "213-791-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEGA",
        "first_name": "MICHAEL",
        "middle_name": "NEIL V.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "750181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.