Individual provider Active NPI

Virginia Denise Hall, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1992144489
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95010976 Issued in CA
Practice address
1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793
Phone
(747) 271-2701
Fax
(310) 693-5384
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010976 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95010976 CA Primary

Addresses

Primary practice location

1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793

Mailing address

6552 Agnes Ave # 4319
North Hollywood, CA 91606-1517
Phone (419) 834-3441

Other identifiers 1

IdentifierTypeStateIssuer
0086457MedicaidOH

Other names 1

  • Virginia White Former name

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
I20190619000144 CA Practitioner - Nurse Practitioner 7517109903 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Mar 16, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Mar 16, 2021 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jul 8, 2019 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Mar 16, 2021 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

2505 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 828-6456

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

8570 W Sunset Blvd
Ste 15
West Hollywood, CA 90069
Phone (310) 500-2041

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1992144489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 AGNES AVE # 4319",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061517",
            "telephone_number": "419-834-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "747-271-2701",
            "fax_number": "310-693-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "VIRGINIA",
        "middle_name": "DENISE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010976",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086457",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.