Individual provider Active NPI

Noemi Echeverria, FNP-BC

  • Family Nurse Practitioner
  • Huntington Park, CA
National Provider Identifier
1962972257
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008547 Issued in CA
Practice address
2677 Zoe Ave Ste 114
Huntington Park, CA 90255-6995
Phone
(323) 312-0640
NPI assigned
Nov 29, 2018
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008547 CA Primary

Addresses

Primary practice location

2677 Zoe Ave Ste 114
Huntington Park, CA 90255-6995

Mailing address

6625 Nestle Ave
Reseda, CA 91335-5515
Phone (818) 939-3548

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
I20201027002295 CA Practitioner - Nurse Practitioner 5193135499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Wound Care SolutionsGroup PAC ID 8123541463, 4 clinicians

Practice addresses (Care Compare)

16415 S Colorado Ave
Suite 410
Paramount, CA 90723-5084
Phone (562) 316-0200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Family and Wound Care Solutions Family CurrentSince Dec 10, 2024 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

3615 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 639-4623

16415 Colorado Ave
Ste 410
Paramount, CA 90723
Phone (562) 316-0200

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1962972257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 NESTLE AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355515",
            "telephone_number": "818-939-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 ZOE AVE STE 114",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556995",
            "telephone_number": "323-312-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "NOEMI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.