JI HAE RA NP
NPI 1154757227
Nurse Practitioner in Cerritos, CA

Q: What is Ji Hae Ra's NPI number?

The NPI number for Ji Hae Ra is 1154757227. It was assigned to this individual provider in the NPPES registry on September 20, 2013.

Q: What is Ji Hae Ra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ji Hae Ra was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 20, 2013PECOS Enrolled

12900 PARK PLAZA DR, STE 150, CERRITOS, CA 90703(562) 741-4470(562) 741-4479 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ji Hae Ra Np NPPES

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

JI HAE RA NP (NPI 1154757227) is an individual nurse practitioner in Cerritos, California, licensed in California (23625) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154757227

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJI HAE RACredential: NP

Location Address12900 PARK PLAZA DR, STE 150Cerritos, CA 90703-9329

Mailing Address12900 Park Plaza Dr, Ste 150Cerritos, CA 90703-9329 · (562) 741-4470 · Fax (562) 741-4479

Phone(562) 741-4470

Fax(562) 741-4479

Sole ProprietorNo

Enumeration DateSeptember 20, 2013

✔ NPI 1154757227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 23625

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12900 PARK PLAZA DR, Cerritos, CA 90703

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ji Hae Ra Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ARDAVAN MEHDIZADEH M.D.

Internal Medicine

12900 PARK PLAZA DR, SUITE 150
CERRITOS, CA 90703

Los Angeles County (562) 207-0139

DONALD S. FURMAN MD

Internal Medicine (Gastroenterology)

12900 PARK PLAZA DR, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703

Los Angeles County (562) 741-4461

CHARLES HALBERT

Marriage & Family Therapist

12900 PARK PLAZA DR
CERRITOS, CA 90703

Los Angeles County (562) 246-3510

IRIS BUAN DNP, NP-C

Nurse Practitioner (Family)

12900 PARK PLAZA DR
CERRITOS, CA 90703

Los Angeles County (310) 808-3410

SIERRA HARTSFIELD

Social Worker (Clinical)

12900 PARK PLAZA DR
CERRITOS, CA 90703

Los Angeles County (562) 467-5438

ALBION MEDICAL PARTNERS OF CALIFORNIA WEST P C

Internal Medicine

12900 PARK PLAZA DR, STE 700, MS-7110
CERRITOS, CA 90703

Los Angeles County (562) 622-2800

MARCIA PATRICIA HARLAN FNP-C

Nurse Practitioner (Family)

12900 PARK PLAZA DR, STE 150
CERRITOS, CA 90703

Los Angeles County (866) 646-3553

KRYSTAL ADAMS N.P

Nurse Practitioner

12900 PARK PLAZA DR
CERRITOS, CA 90703

Los Angeles County (562) 622-2803

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 Ji Hae Ra's NPI number?

The NPI number for Ji Hae Ra is 1154757227. It was assigned to this individual provider in the NPPES registry on September 20, 2013.

Where is Ji Hae Ra located?

Ji Hae Ra practices at 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703. The listed phone number is (562) 741-4470.

What is Ji Hae Ra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ji Hae Ra enrolled in Medicare?

Yes. Ji Hae Ra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji Hae Ra was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.