Doctor profile · Federal record
Dr. Daisy Prom
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Los Angeles, CA
- NPI 1295428100
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1891 Effie St
Los Angeles, CA 900261711
(424) 653-6697
Credentials & registration
- NPI registered
- May 2023 — 3 yrs on file
- Profile last updated
- June 13, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- California #95025343
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295428100. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 1 | $24.60 |
By nature of payment
Frequently asked questions
What is Dr. Daisy Prom's medical specialty?
Dr. Daisy Prom practices Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA.
Where does Dr. Daisy Prom practice?
Dr. Daisy Prom practices at 1891 Effie St, Los Angeles, CA 900261711. Office phone: 4246536697.
What is Dr. Daisy Prom's NPI?
Dr. Daisy Prom's National Provider Identifier (NPI) is 1295428100, issued by NPPES.
Does Dr. Daisy Prom accept Medicare assignment?
Yes. Dr. Daisy Prom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.