Individual provider Active NPI

Lorenza Valdivias, FNP-C, PHN

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1811455645
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011272 Issued in CA
Practice address
808 W 58TH St
Los Angeles, CA 90037-3632
Phone
(323) 541-1600
Fax
(323) 541-1601
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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 95011272 CA Primary

Addresses

Primary practice location

808 W 58TH St
Los Angeles, CA 90037-3632

Mailing address

17042 E Arrow Hwy
Covina, CA 91722-1205
Phone (626) 485-6555

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
I20190621001705 CA Practitioner - Nurse Practitioner 4789918996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Via Care Community Health CenterGroup PAC ID 1052550365, 10 clinicians

Practice addresses (Care Compare)

280 S Atlantic Blvd
Los Angeles, CA 90022-1733
Phone (323) 268-9191

284 S Atlantic Blvd
Los Angeles, CA 90022-1733
Phone (323) 268-9191

4755 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209
Phone (323) 268-9191

501 S Atlantic Blvd
East Los Angeles, CA 90022-2621

501 S Woods Ave
Los Angeles, CA 90022-1976
Phone (323) 268-9191

5015 Whittier Blvd
Los Angeles, CA 90022-3116
Phone (323) 268-9191

5017 Whittier Blvd
East Los Angeles, CA 90022-3116
Phone (323) 268-9191

507 S Atlantic Blvd
Los Angeles, CA 90022-2621
Phone (323) 268-9191

607 S Atlantic Blvd
Los Angeles, CA 90022-3211
Phone (323) 268-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince May 20, 2019 Accepting new patients
St. Johns Community Health CurrentSince May 20, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 5, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 5, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Via Care Community Health Center CurrentSince Dec 27, 2025 Accepting new patients
Via Care Community Health Center CurrentSince Dec 27, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

501 S Atlantic Blvd
Los Angeles, CA 90022
Phone (323) 268-5442

507 S Atlantic Blvd
Los Angeles, CA 90022
Phone 32326891911067

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1811455645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17042 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221205",
            "telephone_number": "626-485-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-541-1600",
            "fax_number": "323-541-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIAS",
        "first_name": "LORENZA",
        "name_prefix": "Dr.",
        "credential": "FNP-C, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.