Individual provider Active NPI

Stephanie Herrera, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1821562356
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95009558 Issued in CA
Practice address
1245 Wilshire Blvd Ste 775
Los Angeles, CA 90017-4881
Phone
(213) 484-5397
NPI assigned
Jan 17, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95009558 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 775
Los Angeles, CA 90017-4881

Mailing address

1245 Wilshire Blvd Ste 775
Los Angeles, CA 90017-4881

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
I20190424003152 CA Practitioner - Nurse Practitioner 3971845884 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
Group practices
Arthritis and Osteoporosis Medical Center, IncGroup PAC ID 4789671066, 10 clinicians

Practice addresses (Care Compare)

2063 S Atlantic Blvd
Suite 300
Monterey Park, CA 91754-6366
Phone (323) 796-0170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95009558CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Osteoporosis Medical Center, Inc CurrentSince Sep 10, 2024 Accepting new patients

Locations

5451 La Palma Ave
Ste 25
La Palma, CA 90623
Phone (714) 670-1340

2063 S Atlantic Blvd
Ste 300
Monterey Park, CA 91754
Phone (323) 796-0170

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70041

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1821562356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 775",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 775",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881",
            "telephone_number": "213-484-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95009558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.