Katlyn Arrivillaga

Individual provider Active NPI Family Nurse Practitioner · Porter Ranch, CA

NPI 1831847441 · NPPES record last updated Aug 31, 2023

Key facts

NPI
1831847441
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
NP5026587 (CA)
Practice address
20220 Sorrento LN Apt 311
Porter Ranch, CA 91326-4476
Phone
(260) 385-5954
NPI assigned
Mar 13, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
28224906AINMDRegistered Nurse
NP5026587CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: karrivillaga502917@direct.parkviewexchange.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28224906A IN
Family Nurse Practitioner 363LF0000X NP5026587 CA Yes

Addresses

Primary practice location

20220 Sorrento LN Apt 311
Porter Ranch, CA 91326-4476

Mailing address

20220 Sorrento LN Apt 311
Porter Ranch, CA 91326-4476
Phone (260) 385-5954

Electronic endpoints

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address karrivillaga502917@Direct.Parkviewexchange.com

Other providers in Porter Ranch, CA

All providers in Porter Ranch, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.