Ayano Itoh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025509 Issued in CA

Practice address

1225 N H St
Lompoc, CA 93436-3301

Phone

(805) 737-8700

NPI assigned

Aug 30, 2023

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redondo Emergency Physicians IncGroup PAC ID 9032388269, 13 clinicians

Culver Emergency Medical GroupGroup PAC ID 0244378677, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Culver Emergency Medical Group

  • Emergency Medicine Physician
  • Culver City, CA
  • NPI 1699907923
  Medicare reassignment Care Compare group NPD
• Redondo Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Gardena, CA
  • NPI 1376834937
  Medicare reassignment Care Compare group NPD
• Lompoc Valley Medical Center

  • General Practice Physician
  • Lompoc, CA
  • NPI 1649282856
  Medicare reassignment NPD

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1013792670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 FIAT ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N H ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934363301",
            "telephone_number": "805-737-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITOH",
        "first_name": "AYANO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Ibarra-Amador
• Buffi Isaac
• Zaena Delilah Isaac, LPC, LPCC
• Sandra Isaacs, RN, PHN
• Ted Matthew Isaacson, MS CCC SLP
• Jackie Jackson
• Mylisa Jackson
• Serena Frances Jackson, RDN
• Taylahni Zhane Jackson
• Renee Louise Ann Jacobsen, MS CCC SLP

• Family Nurse Practitioner in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.