Nanette Promentilla Leonardo, FNP

Primary specialty

Perinatal Registered NurseTaxonomy code 163WP1700X

License

700794 Issued in CA

Practice address

3860 Torrey St
Baldwin Park, CA 91706-3836

Phone

(626) 404-8190

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Tiamson IncGroup PAC ID 5193197168, 2 clinicians

Advanced Practice Wound Care and Psyche SpecialistGroup PAC ID 1456883719, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nanette.leonardo.p1@direct.ccchcenter.nextgenshare.com

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.

• Advanced Practice Wound Care and Psyche Specialist

  • Wound Care Registered Nurse
  • Rancho Cucamonga, CA
  • NPI 1063260073
  Medicare reassignment Care Compare group NPD
• Advanced Practitioner Medical Group - a Professional Nursing Corp

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556
  Medicare reassignment Care Compare group NPD
• Tiamson Inc

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1124745161
  Medicare reassignment Care Compare group NPD
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1962879726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 TORREY ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063836",
            "telephone_number": "626-404-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 TORREY ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063836",
            "telephone_number": "626-404-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "NANETTE",
        "middle_name": "PROMENTILLA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "700794",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "700794",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "700794",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "700794",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "CA",
            "license": "700794",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CA",
            "license": "700794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall R Lemoine, PT
• Jacqueline Lemus, DA
• Denise Leon
• Edgar Gabriel Leon, RESPIRATORY THERAPY
• Michael J. Leonardi, MD
• Thomas Eugene Leppold II, LMFT
• Cheryl Y Leu Sinclair, PA
• Millie M. Leung, MD
• Alan H. Leventhal, OD
• Connie Ann Lew, PHARM.D.

• Registered Nurse in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.