Active NPI
Aracelly Morazan, RNP
- Obstetrics & Gynecology Nurse Practitioner
- Huntington Park, CA
National Provider Identifier
1841411725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RNP 17046
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP 17046 | Other | CA | NURSE PRACTITIONER |
| RN568522 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RNP 17046 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Edgar Martinez DO Inc | Past | Accepting new patients | |
| Edgar I Martinez DO Inc | Past | 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.
-
- Family Medicine Physician
- Huntington Park, CA
- NPI 1225752603
-
- General Practice Physician
- Huntington Park, CA
- NPI 1518114131
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.