Active NPI
Yesenia Ivette Urquilla Davis, FNP
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Shenkman Medical Corporation | Current | Accepting new patients | |
| East Los Angeles Cardiology Medical Group, Inc. | Current | Accepting new patients | |
| Smartclinic Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/IBBACD
- https://api.platform.athenahealth.com/16787/brand/1/csg/1/fhir/r4
- 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.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1790864213
-
- Interventional Cardiology Physician
- Tarzana, CA
- NPI 1063926848
-
- Urgent Care Clinic/Center
- West Covina, CA
- NPI 1881828317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.