Individual provider Active NPI

Ricardo Ivan Alatriste, BSN RN

  • School Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1871064220
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95149758 Issued in CA
Practice address
2450 S Shenandoah St
Los Angeles, CA 90034-2026
Phone
(747) 254-0515
NPI assigned
Dec 11, 2018
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 041459379 IL
School Registered Nurse 163WS0200X RN72054 ME
School Registered Nurse 163WS0200X 95149758 CA Primary

Addresses

Primary practice location

2450 S Shenandoah St
Los Angeles, CA 90034-2026

Mailing address

15701 Sherman Way Unit 7554
Van Nuys, CA 91409-8638
Phone (818) 309-3939

Other identifiers 1

IdentifierTypeStateIssuer
90042082EMedicaidCA

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95149758CAMDSchool Registered Nurse
041459379ILMDSchool Registered Nurse
RN72054MEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1871064220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 SHERMAN WAY UNIT 7554",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914098638",
            "telephone_number": "818-309-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S SHENANDOAH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342026",
            "telephone_number": "747-254-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALATRISTE",
        "first_name": "RICARDO",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041459379",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "ME",
            "license": "RN72054",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95149758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90042082E",
            "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 Dec 11, 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.

Verify at the official NPI Registry.