Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madhavi Menon

Individual provider Nurse Practitioner · NPI 1376207647

Madhavi Menon is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Ridgeline Emergency Physicians Medical Group, Inc, a 35-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone: (213) 742-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018917 (CA)

Record details

NPI number1376207647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 23, 2021
Last updated in NPPESOctober 23, 2021
Certification dateOctober 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ridgeline Emergency Physicians Medical Group, Inc. — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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