Winchell Rivera Elbo, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95001267 Issued in CA

Practice address

1280 S Victoria Ave Ste 250
Ventura, CA 93003-6521

Phone

(805) 351-0745

Fax

(805) 288-6744

NPI assigned

Oct 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• Clear View Behavioral Services

  • Marriage & Family Therapist
  • Redlands, CA
  • NPI 1396117388
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Lancaster, CA
  • NPI 1982863783
  NPD
• 625 North a Street Oxnard Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Oxnard, CA
  • NPI 1184325144
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Addiction (Substance Use Disorder) Psychologist
  • Oxnard, CA
  • NPI 1275090870
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lemoore, CA
  • NPI 1487135067
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hayward, CA
  • NPI 1962983965
  NPD (past)
• Regenerative Spine, Pain, and Neuropathy Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1497323570
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1841694361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036521",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036521",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2362 N Oxnard Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362053",
            "country_code": "US",
            "telephone_number": "805-983-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBO",
        "first_name": "WINCHELL",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2022-04-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martin L Ehrlich, M.D.
• Clayton Eichenseer, DO
• Hailey Sam Eisner, D.O.
• Anna Kristina Eklund Arostegui
• Majid Elalami, DO
• Swati Vijaylakshmi Elchuri, M.D.
• Adam Eliav
• Susan Eligado, RN
• Elixir Lifestyle Medicine
• Joseph David Elkins

• Nurse Practitioner in Ventura, CA
• Providers in Ventura, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.