DAISY PROM
NPI 1295428100
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Daisy Prom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAISY PROM (NPI 1295428100) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95025343) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daisy Prom is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90026 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90026
LOS ANGELES, CA 90026
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 Daisy Prom's NPI number?
The NPI number for Daisy Prom is 1295428100. It was assigned to this individual provider in the NPPES registry on May 29, 2023.
Where is Daisy Prom located?
Daisy Prom practices at 1891 Effie St, Los Angeles, CA 90026. The listed phone number is (424) 653-6697.
What is Daisy Prom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Daisy Prom enrolled in Medicare?
Yes. Daisy Prom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Daisy Prom accept?
Health plans from Providence Health Plan list Daisy Prom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Daisy Prom was last updated on June 13, 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.
# Daisy Prom · NPI 1295428100
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 29, 2023.
## Identity
- **NPI:** 1295428100 (Entity type: Individual)
- **Enumerated:** May 29, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95025343 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1891 EFFIE ST, Los Angeles, CA 90026-1711
- **Phone:** (424) 653-6697
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295428100) · Data from the CMS NPPES public registry.