EPISOURCE LLC
NPI 1225390289
Nurse Practitioner in Gardena, CA

Q: What is Episource LLC's NPI number?

The NPI number for Episource LLC is 1225390289. It was assigned to this organization in the NPPES registry on June 14, 2012.

Q: What is Episource LLC'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 Episource LLC was last updated on February 7, 2023. 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 June 14, 2012

500 W 190TH ST, 4TH FLOOR, GARDENA, CA 90248(714) 452-1961(714) 452-1966 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 7, 2023, Jul 30, 2020, Jul 29, 2019 (3 updates tracked since 2019).

On this page

About Episource Llc NPPES

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

EPISOURCE LLC (NPI 1225390289) is a healthcare organization registered as a nurse practitioner in Gardena, California and active in the NPI registry since June 2012. The organization lists Sishir Reddy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225390289

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameEPISOURCE LLC

Location Address500 W 190TH ST, 4TH FLOORGardena, CA 90248-4268

Mailing Address500 W 190th St, 4th FloorGardena, CA 90248-4268 · (714) 452-1961 · Fax (714) 452-1966

Phone(714) 452-1961

Fax(714) 452-1966

Organization SubpartNo

Authorized OfficialSishir ReddyCeo · (714) 452-1962

Enumeration DateJune 14, 2012

Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2023

✔ NPI 1225390289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

500 W 190TH ST, Gardena, CA 90248

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

VANESSA ANGULO BCBA

Behavior Analyst

500 W 190TH ST, #220
GARDENA, CA 90248

Los Angeles County (866) 727-8274

NATHALIE ANYAKPOR MSN RN FNP-C

Family Medicine

500 W 190TH ST
GARDENA, CA 90248

Los Angeles County (714) 452-1961

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 Episource LLC's NPI number?

The NPI number for Episource LLC is 1225390289. It was assigned to this organization in the NPPES registry on June 14, 2012.

Where is Episource LLC located?

Episource LLC is located at 500 W 190th St 4th Floor, Gardena, CA 90248. The listed phone number is (714) 452-1961.

What is Episource LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Episource LLC was last updated on February 7, 2023. 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.