Active NPI
Larissa Ruano Celles, RN, MSN, GNP, GCNS
- Gerontology Nurse Practitioner
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP20963
- Practice address
- 1000 W Carson St
Torrance, CA 90502-2004 - Phone
- (310) 222-2040
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP20963 | CA | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | CNS3629 | CA |
Addresses
Primary practice location
1000 W Carson St
Torrance, CA 90502-2004
Mailing address
624 E 222ND St
Carson, CA 90745-3247
Phone (310) 806-5206
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 E Hardy St
Suite 312
Inglewood, CA 90301-4050
Phone (844) 960-2673
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP20963 | CA | MD | Gerontology Nurse Practitioner |
| CNS3629 | CA | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Doctors | Current | Accepting new patients |
Locations
575 E Hardy St
Ste 312
Inglewood, CA 90301
Phone (310) 590-2333
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
Organizations & group practices 1
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.
-
- Surgery Physician
- Inglewood, CA
- NPI 1679293724
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba LAC Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1477574838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1902178700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 E 222ND ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907453247",
"telephone_number": "310-806-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLES",
"first_name": "LARISSA",
"middle_name": "RUANO",
"credential": "RN, MSN, GNP, GCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "NP20963",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "CNS3629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.