Individual provider Active NPI

Carina Crystal Cortez, WHNP

  • Women's Health Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1902445968
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95013425 Issued in CA
Practice address
20911 Earl St Ste 440
Torrance, CA 90503-4355
Phone
(310) 793-2566
NPI assigned
Dec 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X 95013425 CA Primary

Addresses

Primary practice location

20911 Earl St Ste 440
Torrance, CA 90503-4355

Mailing address

2930 W 235TH St Apt 4
Torrance, CA 90505-4148
Phone (310) 367-0013

Other names 1

  • Carina Crystal Lopez Other name

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
I20240522003235 CA Practitioner - Nurse Practitioner 7416399456 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)

Laguna Niguel, CA 92677

20911 Earl St
Suite 220
Torrance, CA 90503-4353
Phone (310) 540-9600

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013425CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Providence Medical Institute Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients

Locations

520 N Prospect Ave
Ste 203
Redondo Beach, CA 90277
Phone (310) 318-5509

20911 Earl St
Ste 440
Torrance, CA 90503
Phone (310) 419-8585

20911 Earl St
Ste 480
Torrance, CA 90503
Phone (310) 370-7277

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

Interoperability endpoints

  • Direct secure messaging: clopez410140@oc.providencedirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1902445968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W 235TH ST APT 4",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054148",
            "telephone_number": "310-367-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-793-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "CARINA",
        "middle_name": "CRYSTAL",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-22",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95013425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARINA",
            "last_name": "LOPEZ",
            "middle_name": "CRYSTAL",
            "credential": "WHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.