Active NPI
Lovella C Sim-Parcasio, REGISTERED NURSE
- Psychiatric/Mental Health Registered Nurse
- Long Beach, CA
National Provider Identifier
1912138991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 527769
- Practice address
- 3205 N Lakewood Blvd
Long Beach, CA 90808-1733 - Phone
- (562) 570-7119
- NPI assigned
- Aug 7, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 527769 | CA | Primary |
Addresses
Primary practice location
3205 N Lakewood Blvd
Long Beach, CA 90808-1733
Mailing address
11334 Bertha St
Cerritos, CA 90703-6531
Phone (562) 865-7906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953893470 | Other | CA | FEDERAL TAX ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 527769 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1912138991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11334 BERTHA ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036531",
"telephone_number": "562-865-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 N LAKEWOOD BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081733",
"telephone_number": "562-570-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIM-PARCASIO",
"first_name": "LOVELLA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "527769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "953893470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.