Active NPI
Irma Maldonado
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1982029005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1776 E Century Blvd
Los Angeles, CA 90002-3050 - Phone
- (323) 374-6848
- Fax
- (323) 374-6691
- NPI assigned
- Feb 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 840228 | CA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1776 E Century Blvd
Los Angeles, CA 90002-3050
Mailing address
1776 E Century Blvd
Los Angeles, CA 90002-3050
Phone (323) 374-6848
Other practice location 1
5425 Pomona Blvd
Los Angeles, CA 90022-1716
Phone (323) 728-0411 ext. 207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840228 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1982029005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 E CENTURY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023050",
"telephone_number": "323-374-6848",
"fax_number": "323-374-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 E CENTURY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023050",
"telephone_number": "323-374-6848",
"fax_number": "323-374-6691"
}
],
"practiceLocations": [
{
"address_1": "5425 Pomona Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900221716",
"country_code": "US",
"telephone_number": "323-728-0411 x207",
"fax_number": "323-890-8762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO",
"first_name": "IRMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "840228",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.