Individual provider Active NPI

Moniza Bel Vasquez Labagnoy, NP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1972376366
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025805 Issued in CA
Practice address
5015 Eagle Rock Blvd Ste 210
Los Angeles, CA 90041-2085
Phone
(747) 300-7541
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 95025805 CA Primary

Addresses

Primary practice location

5015 Eagle Rock Blvd Ste 210
Los Angeles, CA 90041-2085

Mailing address

21121 Cohasset St
Canoga Park, CA 91303-1401
Phone (818) 491-6397

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
I20240918003242 CA Order and Referring Only - Nurse Practitioner 2365983228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Marketing Worldwide Inc. CurrentSince Nov 12, 2023 Accepting new patients

Locations

5015 Eagle Rock Blvd
Ste 210
Los Angeles, CA 90041
Phone (747) 300-7541

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1972376366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21121 COHASSET ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031401",
            "telephone_number": "818-491-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 EAGLE ROCK BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412085",
            "telephone_number": "747-300-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAGNOY",
        "first_name": "MONIZA BEL",
        "middle_name": "VASQUEZ",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.