Active NPI
Judith Aranas Ikezuagu, M.D.
- Family Medicine Physician
- Hemet, CA
National Provider Identifier
1013399104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301108283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108283 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Memorial Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Mercy Memorial Hospital Corporation | Current | 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
- 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.
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
- Specialist
- Monroe, MI
- NPI 1376997551
-
- Family Medicine Physician
- Monroe, MI
- NPI 1659614022
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.