Ni Ketut Supiyati
Nurse Practitioner
2638 E Florence Ave, Huntington Park
California, 90255-4708
323-581-4665
May or may not accept Medicare Nurse Anesthetist in Huntington Park, California.Ni Ketut Supiyati is a Huntington Park, California based nurse practitioner. Active license number of Ni Ketut Supiyati is NP95001498 in California. Her current practice location is 2638 E Florence Ave, Huntington Park. Patients can reach her at 323-581-4665 or can fax her at 323-581-0551 and her NPI number (Unique professional ID assigned by NPPES) is 1023497443.
Ni Ketut Supiyati has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ni Ketut Supiyati speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ni Ketut Supiyati |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 2638 E Florence Ave, Huntington Park, California, 90255-4708 |
| Phone: | 323-581-4665 |
| Fax: | 323-581-0551 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1023497443 |
| NPI Enumeration Date: | 19 May, 2015 |
| NPI Last Update On: | 19 May, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ni Ketut Supiyati are as mentioned below.
| License Number | Specialization | State | Status | |
| NP95001498 | | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ni Ketut Supiyati such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 95001498 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ni Ketut Supiyati 2638 E Florence Ave, Huntington Park, California |
| Zip: | 90255-4708 |
| Phone Number: | 323-581-4665 |
| Fax Number: | 323-581-0551 |
Patients can reach Ni Ketut Supiyati at
2638 E Florence Ave, Huntington Park, California or can
call to book an appointment on 323-581-4665.
Comments/ Reviews:
Patients can read all the reviews posted for Ni Ketut Supiyati below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ni Ketut Supiyati. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.