Individual provider Active NPI

Aubrey Marie Razalan Eligio, FNP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1790555860
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025095 Issued in CA
Practice address
1701 E Cesar E Chavez Ave Ste 128
Los Angeles, CA 90033-2483
Phone
(323) 223-2338
Fax
(323) 225-2340
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025095 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave Ste 128
Los Angeles, CA 90033-2483

Mailing address

7155 Citrus Ave Unit 128
Fontana, CA 92336-6002
Phone (818) 272-2984

Other names 1

  • Aubrey Marie Shalima Dulay Razalan Former name

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

LicenseStateTypeSpecialty
95025095CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Annapoorani Thenappan MD Inc PastSince Jan 14, 2024 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aubrey.eligio.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1790555860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 CITRUS AVE UNIT 128",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923366002",
            "telephone_number": "818-272-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 128",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332483",
            "telephone_number": "323-223-2338",
            "fax_number": "323-225-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIGIO",
        "first_name": "AUBREY MARIE",
        "middle_name": "RAZALAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY MARIE SHALIMA",
            "last_name": "RAZALAN",
            "middle_name": "DULAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.