Individual provider Active NPI

Nalo Mariama Hamilton, NURSE PRACTIONER

  • Adult Health Nurse Practitioner
  • Alhambra, CA
National Provider Identifier
1831229194
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP17109 Issued in CA
Practice address
55 S Raymond Ave Ste 200
Alhambra, CA 91801-7103
Phone
(626) 570-8005
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP17109 CA Primary
Women's Health Nurse Practitioner 363LW0102X NP17109 CA
Registered Nurse 163W00000X 694660 CA

Addresses

Primary practice location

55 S Raymond Ave Ste 200
Alhambra, CA 91801-7103

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

11600 Indian Hills Rd # 200
Mission Hills, CA 91345-1225
Phone (818) 838-4500

Other identifiers 2

IdentifierTypeStateIssuer
694660OtherCARN
NP17109OtherCANP LICENSE

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
I20151106002039 CA Practitioner - Nurse Practitioner 1557505757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

11600 Indian Hills Rd
Mission Hills, CA 91345-1225
Phone (818) 838-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17109CAMDSonography Radiologic Technologist
NP17109CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 28, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 28, 2015 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

55 S Raymond Ave
Ste 200
Alhambra, CA 91801
Phone (626) 570-8005

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

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

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

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

11600 Indian Hills Rd
Ste 200
Mission Hills, CA 91345
Phone (818) 838-4500

11600 Indian Hills Rd
#100103
Mission Hills, CA 91345

11600 Indian Hills Rd
#200
Mission Hills, CA 91345
Phone (818) 838-4500

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nhamilton207193@westdirect.optum.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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1831229194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 200",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017103",
            "telephone_number": "626-570-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 Indian Hills Rd # 200",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451225",
            "country_code": "US",
            "telephone_number": "818-838-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "NALO",
        "middle_name": "MARIAMA",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP17109",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP17109",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "694660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "694660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "NP17109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.