Active NPI
Paloma Women's Clinic and Medical Center, Nursing P.C
- Family Nurse Practitioner
- Huntington Park, CA
National Provider Identifier
1922390996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 681341
- Legal business name
- PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C
- Practice address
- 2670 E Gage Ave Ste 4
Huntington Park, CA 90255-4176 - Phone
- (323) 588-2005
- Fax
- (323) 588-2004
- NPI assigned
- May 10, 2011
- Last updated
- May 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Larisa Zabokritskaya, FNP
- Title
- President
- Phone
- (310) 940-2001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 681341 | CA | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 681341 | CA |
Addresses
Primary practice location
2670 E Gage Ave Ste 4
Huntington Park, CA 90255-4176
Mailing address
2670 E Gage Ave Ste 4
Huntington Park, CA 90255-4176
Phone (323) 588-2005
National Provider Directory
National Provider DirectoryLocations
2670 E Gage Ave
Ste 4
Huntington Park, CA 90255
Phone (323) 588-2005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Women's Health Nurse Practitioner
- Marina del Rey, CA
- NPI 1104072719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1922390996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 E GAGE AVE STE 4",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554176",
"telephone_number": "323-588-2005",
"fax_number": "323-588-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 E GAGE AVE STE 4",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554176",
"telephone_number": "323-588-2005",
"fax_number": "323-588-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "ZABOKRITSKAYA",
"authorized_official_first_name": "LARISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-940-2001",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "681341",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "681341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.