Individual provider Active NPI

Terrance Roger Ito, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1932439767
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP19434 Issued in CA
Practice address
13323 W Washington Blvd Ste 202
Los Angeles, CA 90066-5163
Phone
(213) 762-0690
Fax
(213) 762-0732
NPI assigned
Dec 29, 2009
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19434 CA
Family Nurse Practitioner 363LF0000X NP19434 CA Primary
Registered Nurse 163W00000X 556344 CA

Addresses

Primary practice location

13323 W Washington Blvd Ste 202
Los Angeles, CA 90066-5163

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (818) 790-7100

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
I20120417000776 CA Practitioner - Nurse Practitioner 7416118526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Nursing Therapeutics IncGroup PAC ID 2365826906, 2 clinicians

Practice addresses (Care Compare)

13323 W Washington Blvd
Suite 202
Los Angeles, CA 90066-5163
Phone (310) 279-5010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
556344CAMDRegistered Nurse
NP19434CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Dec 10, 2021 Accepting new patients
Advanced Nursing Therapeutics Inc Family CurrentSince Jun 9, 2022 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 10, 2021 Accepting new patients
Axis Psychiatric Services, PC PastSince Jul 22, 2025 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1200 N State St
Rm 1011
Los Angeles, CA 90089
Phone (323) 226-6667

13323 W Washington Blvd
Ste 202
Los Angeles, CA 90066
Phone (213) 762-0690

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1932439767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "818-790-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 W WASHINGTON BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665163",
            "telephone_number": "213-762-0690",
            "fax_number": "213-762-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "TERRANCE",
        "middle_name": "ROGER",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "19434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19434",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "556344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.