NOEMI AVILA
NPI 1023691623
Nurse Practitioner - Pediatrics in Grand Terrace, CA

Q: What is Noemi Avila's NPI number?

The NPI number for Noemi Avila is 1023691623. It was assigned to this individual provider in the NPPES registry on April 30, 2021. The provider is also known as Noemi Verumen.

Q: What is Noemi Avila's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Noemi Avila was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2021

11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313(909) 864-1097(951) 225-6879 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Apr 30, 2021 (2 updates tracked since 2021).

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About Noemi Avila NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOEMI AVILA (NPI 1023691623) is an individual pediatrics provider in Grand Terrace, California, licensed in California (95022305) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1023691623

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNOEMI AVILA

Location Address11980 MOUNT VERNON AVEGrand Terrace, CA 92313-5172

Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097 · Fax (951) 225-6879

Phone(909) 864-1097

Fax(951) 225-6879

Sole ProprietorNo

Enumeration DateApril 30, 2021

Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1023691623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95022305

11980 MOUNT VERNON AVE, Grand Terrace, CA 92313

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Other Names 1

Former Name (1)Noemi Verumen

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLA LEON

Counselor (Mental Health)