Los Angeles Sheriff's Department

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

586319 NPC16628 Issued in CA

Legal business name

LOS ANGELES SHERIFF'S DEPARTMENT

Practice address

450 Bauchet St
Los Angeles, CA 90012-2907

Phone

(213) 893-5455

Fax

(213) 633-4663

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Ofelia Cruz de Portillo, NP

Title

Nurse Practitioner

Phone

(213) 893-5455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1942477757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19400 LANARK ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351013",
            "telephone_number": "818-885-0864",
            "fax_number": "818-885-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAUCHET ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122907",
            "telephone_number": "213-893-5455",
            "fax_number": "213-633-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES SHERIFF'S DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ DE PORTILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "OFELIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "213-893-5455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "586319 NPC16628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Pulmonary Associates Inc
• Los Angeles Racovery Center
• Los Angeles Recovery Centers
• Los Angeles Regional Food Bank
• Los Angeles Rehabilitation & Wellness Centre, LP
• Los Angeles Sleep Institute
• Los Angeles Surgical Center a Medical Corporation
• Los Angeles Teen Outpatient Center LLC
• Los Angeles TMS Institute, Inc.
• Los Angeles Unified School District

• Health Maintenance Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.