Individual provider Active NPI

Yesenia Ivette Urquilla Davis, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1821744913
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019085 Issued in CA
Practice address
1701 Cesar E. Chavez Ave Ste 125
Los Angeles, CA 90033-2445
Phone
(323) 441-1122
Fax
(323) 441-1173
NPI assigned
Feb 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 95019085 CA Primary

Addresses

Primary practice location

1701 Cesar E. Chavez Ave Ste 125
Los Angeles, CA 90033-2445

Mailing address

520 E Magnolia Blvd Apt E
Burbank, CA 91501-1948
Phone (323) 377-0030

Other practice location 1

19231 Soledad Canyon Rd
Canyon Country, CA 91351-3367
Phone (661) 430-9040

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
I20230525003142 CA Practitioner - Nurse Practitioner 7911363494 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Shenkman Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
East Los Angeles Cardiology Medical Group, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Smartclinic Inc CurrentSince Aug 1, 2026 Accepting new patients

Locations

5400 Balboa Blvd
Ste 131
Encino, CA 91316
Phone (818) 783-9700

1701 E Cesar E Chavez Ave
Ste 125
Los Angeles, CA 90033
Phone (323) 441-1122

19231 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 255-9355

18663 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 600-1005

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBBACD
  • FHIR API: https://api.platform.athenahealth.com/16787/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yesenia.davis.1@16787.direct.athenahealth.com

Organizations & group practices 3

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": "1645920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1821744913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E MAGNOLIA BLVD APT E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011948",
            "telephone_number": "323-377-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CESAR E. CHAVEZ AVE STE 125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332445",
            "telephone_number": "323-441-1122",
            "fax_number": "323-441-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19231 Soledad Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913513367",
            "country_code": "US",
            "telephone_number": "661-430-9040",
            "fax_number": "661-673-7296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YESENIA",
        "middle_name": "IVETTE URQUILLA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-27",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.