MARTIN LAVERTU NP
NPI 1184279119
Nurse Practitioner in Harbor City, CA

Q: What is Martin Lavertu's NPI number?

The NPI number for Martin Lavertu is 1184279119. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Martin Lavertu'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 Martin Lavertu was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 06, 2019

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Martin Lavertu Np NPPES

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

MARTIN LAVERTU NP (NPI 1184279119) is an individual nurse practitioner in Harbor City, California, licensed in California (NP17907) and active in the NPI registry since August 2019. He maintains a secondary practice location in Hermosa Beach.

NPPES Registry Identity

NPI1184279119

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMARTIN LAVERTUCredential: NP

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address28109 Highridge Rd Apt 10Rolling Hills Estates, CA 90275-3466 · (310) 544-5143

Phone(310) 325-5111

Sole ProprietorNo

Enumeration DateAugust 6, 2019

✔ NPI 1184279119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP17907

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.

Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License NP17907 (CA)

25825 VERMONT AVE, Harbor City, CA 90710

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Secondary Practice Location 1

Location 1555 Pier AveHermosa Beach, CA 90254-3839 · Phone (310) 374-6600

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.

SEAN KOH PHARM.D.

Pharmacist