MRS. LEILA EILEEN MIRANDA LAVERTU FNP
NPI 1700163086
Nurse Practitioner - Family in Torrance, CA

Q: What is Leila Miranda Lavertu's NPI number?

The NPI number for Leila Miranda Lavertu is 1700163086. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Q: What is Leila Miranda Lavertu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Leila Miranda Lavertu enrolled in Medicare?

No. Leila Miranda Lavertu has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since November 15, 2011Opted out of Medicare · through Jul 1, 2028

4101 TORRANCE BLVD, TORRANCE, CA 90503(310) 303-5600 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Mrs. Leila Eileen Miranda Lavertu Fnp NPPES

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

MRS. LEILA EILEEN MIRANDA LAVERTU FNP (NPI 1700163086) is an individual family provider in Torrance, California, licensed in California (17690) and active in the NPI registry since November 2011. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1700163086

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LEILA EILEEN MIRANDA LAVERTUCredential: FNP

Location Address4101 TORRANCE BLVDTorrance, CA 90503-4607

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

Phone(310) 303-5600

Sole ProprietorNo

Enumeration DateNovember 15, 2011

✔ NPI 1700163086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 17690

4101 TORRANCE BLVD, Torrance, CA 90503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Leila Eileen Miranda Lavertu Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2020 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2020

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE

General Acute Care Hospital