Elisangela Souza, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025443 Issued in CA

Practice address

2557 Chino Hills Pkwy Ste a
Chino Hills, CA 91709-5603

Phone

(909) 393-4334

NPI assigned

Jun 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luther Mangoba, MD Inc.Group PAC ID 9537292594, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elisangela.souza@682114225012740.direct.elationemr.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Luther Mangoba, MD Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1558387209

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pair Team Medical Group of California PC

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134838352

  Single Specialty

  Medicare reassignment NPD
• Pair Team Medical Group, P.a.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1659132553

  Single Specialty

  Medicare reassignment NPD
• Samuel a Silao MD Inc

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1255653234

  Single Specialty

  NPD
• Stanley Arbiter MD Leonard Beller MD & Michael Silao MD

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1003952342

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1932885084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 MAGNOLIA AVE # B175",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033562",
            "telephone_number": "951-870-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 CHINO HILLS PKWY STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095603",
            "telephone_number": "909-393-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925054408",
            "country_code": "US",
            "telephone_number": "951-870-7673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "ELISANGELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Song
• Ju Hee Song, PSYD
• Steven Soong, O.D.
• Southern California Injury Treatment Center MGT
• Southern California Permanente Medical Group
• Kathleen A Spencer, P.T.
• Spring Hope Hospice, Inc.
• Amanda Kay Stadelbacher
• Wayne Eugene Stemmler
• Stephanie Pelayo, Psy D & Company a Psychological Corp. (Soulwell Family Guidance Group)

• Nurse Practitioner in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.