Individual provider Active NPI

Teresita Prejillana

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1992124267
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
511410 Issued in CA
Practice address
2525 Colorado Blvd Ste D
Los Angeles, CA 90041-1062
Phone
(323) 739-0333
Fax
(323) 739-0330
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 511410 CA Primary

Addresses

Primary practice location

2525 Colorado Blvd Ste D
Los Angeles, CA 90041-1062

Mailing address

2525 Colorado Blvd Ste D
Los Angeles, CA 90041-1062
Phone (323) 739-0333

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

LicenseStateTypeSpecialty
511410CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Home Healthcare, Inc. Current Accepting new patients

Locations

2525 Colorado Blvd
Ste D
Los Angeles, CA 90041
Phone (323) 739-0333

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1992124267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "323-739-0333",
            "fax_number": "323-739-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "323-739-0333",
            "fax_number": "323-739-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJILLANA",
        "first_name": "TERESITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "511410",
            "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 Apr 15, 2014; 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.