Active NPI
Connie A. Robledo, FNP-BC
- Family Nurse Practitioner
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95008362
- Practice address
- 8510 Balboa Blvd
Northridge, CA 91325-3583 - Phone
- (818) 455-9914
- NPI assigned
- Jan 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11020005 | FL | |
| Family Nurse Practitioner | 363LF0000X | 95008362 | CA | Primary |
Addresses
Primary practice location
8510 Balboa Blvd
Northridge, CA 91325-3583
Mailing address
PO Box 925
Norco, CA 92860-0925
Phone (951) 729-9016
Other practice location 1
200 Oceangate
#100
Long Beach, CA 90802-4317
Phone (888) 562-5442
Other practice location 2
632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11020005 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Universal Care | Current | Accepting new patients | |
| Lakeside Medical Associates, a Medical Group, Inc. | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
Interoperability endpoints
- connie.robledo.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 7
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.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
-
- Rheumatology Physician
- Burbank, CA
- NPI 1861499535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1932617156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 925",
"city": "NORCO",
"state": "CA",
"postal_code": "928600925",
"telephone_number": "951-729-9016",
"fax_number": "562-499-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913253583",
"telephone_number": "818-455-9914"
}
],
"practiceLocations": [
{
"address_1": "200 Oceangate",
"address_2": "#100",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908024317",
"country_code": "US",
"telephone_number": "888-562-5442",
"fax_number": "562-499-6171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "632 Broadway Ph",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122614",
"country_code": "US",
"telephone_number": "800-731-4254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBLEDO",
"first_name": "CONNIE",
"middle_name": "A.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11020005",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95008362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.