Active NPI
Inigo Ernesto Noriega, MSN, FNP-BC, RN, PHN
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1851887566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20580
- Practice address
- 127 S San Vicente Blvd
Los Angeles, CA 90048 - Phone
- (424) 315-2311
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20580 | CA | Primary |
Addresses
Primary practice location
127 S San Vicente Blvd
Los Angeles, CA 90048
Mailing address
127 S San Vicente Blvd
Los Angeles, CA 90048-3311
Phone (424) 315-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851887566 | 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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20580 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1851887566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483311",
"telephone_number": "424-315-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048",
"telephone_number": "424-315-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORIEGA",
"first_name": "INIGO",
"middle_name": "ERNESTO",
"credential": "MSN, FNP-BC, RN, PHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851887566",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.