Individual provider Active NPI

Aracelly Morazan, RNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Huntington Park, CA
National Provider Identifier
1841411725
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RNP 17046 Issued in CA
Practice address
3512 E Florence Ave Ste 102
Huntington Park, CA 90255-5900
Phone
(235) 821-1803
Fax
(323) 582-8280
NPI assigned
May 1, 2007
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RNP 17046 CA Primary

Addresses

Primary practice location

3512 E Florence Ave Ste 102
Huntington Park, CA 90255-5900

Mailing address

3512 E Florence Ave Ste 102
Huntington Park, CA 90255-5900
Phone (323) 582-1180

Other identifiers 2

IdentifierTypeStateIssuer
NP 17046OtherCANURSE PRACTITIONER
RN568522MedicaidCA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RNP 17046CAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Edgar Martinez DO Inc PastSince Oct 2, 2022 Accepting new patients
Edgar I Martinez DO Inc PastSince Aug 10, 2000 Accepting new patients

Organizations & group practices 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1841411725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE STE 102",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-582-1180",
            "fax_number": "323-582-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE STE 102",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "235-821-1803",
            "fax_number": "323-582-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAZAN",
        "first_name": "ARACELLY",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "RNP 17046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "NP 17046",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN568522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.