Individual provider Active NPI

Judith Aranas Ikezuagu, M.D.

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1013399104
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301108283 Issued in MI
Practice address
1701 E Florida Ave
Hemet, CA 92544-4632
Phone
(951) 658-4486
Fax
(951) 925-1666
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301108283 MI Primary

Addresses

Primary practice location

1701 E Florida Ave
Hemet, CA 92544-4632

Mailing address

1701 E Florida Ave
Hemet, CA 92544-4632
Phone (951) 658-4486

Other names 1

  • Judith Aranas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726001849 MI Practitioner - Family Practice 2769739457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301108283MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Memorial Hospital Corporation Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Jul 1, 2018 Accepting new patients
Mercy Memorial Hospital Corporatio Current Accepting new patients

Locations

905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

650 Stewart Rd
Monroe, MI 48162
Phone (734) 240-4594

Interoperability endpoints

  • Direct secure messaging: jaranas399168@direct.llu.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1013399104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444632",
            "telephone_number": "951-658-4486",
            "fax_number": "951-925-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444632",
            "telephone_number": "951-658-4486",
            "fax_number": "951-925-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEZUAGU",
        "first_name": "JUDITH",
        "middle_name": "ARANAS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "ARANAS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.