Active NPI
Santa Rosa Family Care Center
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1881871341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SANTA ROSA FAMILY CARE CENTER
- Practice address
- 1234 E Florence Ave
Suite B
Los Angeles, CA 90001-2433 - Phone
- (323) 583-6814
- Fax
- (323) 583-6818
- NPI assigned
- Jan 28, 2008
- Organization subpart
- Yes
- Parent organization
- SANTA ROSA FAMILY CARE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teresa S Ortiz, FNP
- Title
- President
- Phone
- (323) 583-6814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CA | Primary |
Addresses
Primary practice location
1234 E Florence Ave
Suite B
Los Angeles, CA 90001-2433
Mailing address
1234 E Florence Ave
Los Angeles, CA 90001-2433
Phone (323) 583-6814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GNP000151 | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Santa Rosa Family Care Ctr
Locations
1234 E Florence Ave
Ste B
Los Angeles, CA 90001
Phone (323) 583-6814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1881871341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E FLORENCE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900012433",
"telephone_number": "323-583-6814",
"fax_number": "323-583-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 E FLORENCE AVE",
"address_2": "SUITE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900012433",
"telephone_number": "323-583-6814",
"fax_number": "323-583-6818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA ROSA FAMILY CARE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANTA ROSA FAMILY CARE CENTER",
"enumeration_date": "2008-01-28",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-583-6814",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GNP000151",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Santa Monica Dental,a Dr Shenavad Dental Group Corporation (Santa Monica Dental Associates)
- Santa Monica Home Health Care, Inc.
- Santa Monica Hospice Care, Inc.
- Santa Monica in Home Care LLC
- Santa Monica Sports Massage LLC
- Santa Rosa Family Care Center, a Nursing Corporation
- Santa Rosa Family Medical Clinic
- Santa Rosa Health Associates, Inc.
- Santa Teresita Medical Clinic Group Inc (Santa Teresita Medical Clinic)
- Helen Merie Santacruz, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.