MRS. CLARA ELAINE MCNULTY NNP-BC
NPI 1114604006
Nurse Practitioner - Pediatrics in Los Angeles, CA
About Mrs. Clara Elaine Mcnulty Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CLARA ELAINE MCNULTY NNP-BC (NPI 1114604006) is an individual pediatrics provider in Los Angeles, California, licensed in California (95025591) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Clara Elaine Mcnulty Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clara Mcnulty's NPI number?
The NPI number for Clara Mcnulty is 1114604006. It was assigned to this individual provider in the NPPES registry on July 3, 2023.
Where is Clara Mcnulty located?
Clara Mcnulty practices at 757 Westwood Plz Fl 5, Los Angeles, CA 90095. The listed phone number is (310) 267-7565.
What is Clara Mcnulty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Clara Mcnulty enrolled in Medicare?
Yes. Clara Mcnulty is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Clara Mcnulty was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Clara Elaine Mcnulty, NNP-BC · NPI 1114604006
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 3, 2023.
## Identity
- **NPI:** 1114604006 (Entity type: Individual)
- **Enumerated:** July 3, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95025591 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 757 WESTWOOD PLZ FL 5, Los Angeles, CA 90095-2804
- **Phone:** (310) 267-7565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114604006) · Data from the CMS NPPES public registry.