Individual provider Active NPI

Janelle Osorio Patriarca, MSN, NP-C

  • Family Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1841855590
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011737 Issued in CA
Practice address
12401 Washington Blvd
Whittier, CA 90602
Phone
(562) 698-0811
NPI assigned
May 8, 2019
Last updated
Jul 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011737 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602

Mailing address

12401 Washington Boulevard
Whittier, CA 90602
Phone (562) 698-0811

Other practice location 1

510 W 218th Pl
Carson, CA 90745-2818
Phone (310) 529-7397

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
I20200204001402 CA Practitioner - Nurse Practitioner 1850727207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

1499 W 1St St
San Pedro, CA 90732-3255
Phone (310) 831-9482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Nov 20, 2023 Accepting new patients
Providence Medical Institute CurrentSince Nov 20, 2023 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

5100 W Goldleaf Cir
Fl 2
Los Angeles, CA 90056
Phone (323) 293-7171

1294 W 6th St
Ste 103
San Pedro, CA 90731
Phone (310) 831-8449

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

7345 Medical Center Dr
Ste 600
West Hills, CA 91307
Phone (818) 347-2921

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jpatriarca2067501@oc.providencedirect.org

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, 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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1841855590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BOULEVARD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-698-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-698-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W 218th Pl",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907452818",
            "country_code": "US",
            "telephone_number": "310-529-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRIARCA",
        "first_name": "JANELLE",
        "middle_name": "OSORIO",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.