Individual provider Active NPI

John Surry Bell Jr., FNP-C

  • Family Nurse Practitioner
  • Northridge, CA
National Provider Identifier
1811432172
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005745 Issued in CA
Practice address
10251 Hadley Ave
Northridge, CA 91324-1118
Phone
(818) 519-8871
NPI assigned
Dec 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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 95005745 CA Primary

Addresses

Primary practice location

10251 Hadley Ave
Northridge, CA 91324-1118

Mailing address

10251 Hadley Ave
Northridge, CA 91324-1118
Phone (818) 519-8871

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
I20190604001450 CA Practitioner - Nurse Practitioner 0042559783 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005745CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Babak Roozrokh, MD Inc CurrentSince Apr 8, 2019 Accepting new patients
Palliative Care Doctors Group, Inc CurrentSince Apr 8, 2019 Accepting new patients

Locations

1700 Westwood Blvd
Ste 2D
Los Angeles, CA 90024
Phone (310) 475-4865

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 435-1892

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1811432172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 HADLEY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241118",
            "telephone_number": "818-519-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 HADLEY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241118",
            "telephone_number": "818-519-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "JOHN",
        "middle_name": "SURRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.