Active NPI
Anna Marie Bayya
- Psychiatric/Mental Health Registered Nurse
- Lynwood, CA
National Provider Identifier
1043495740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95032310
- Practice address
- 3630 E Imperial Hwy
Lynwood, CA 90262-2609 - Phone
- (310) 900-8210
- NPI assigned
- Jan 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95032310 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Mailing address
1164 Wingate Dr
Carson, CA 90745-1651
Other practice location 1
14240 Imperial Hwy
LA Mirada, CA 90638-1940
Phone (562) 946-1587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1043495740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 WINGATE DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907451651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622609",
"telephone_number": "310-900-8210"
}
],
"practiceLocations": [
{
"address_1": "14240 Imperial Hwy",
"address_purpose": "LOCATION",
"city": "LA Mirada",
"state": "CA",
"postal_code": "906381940",
"country_code": "US",
"telephone_number": "562-946-1587",
"fax_number": "562-946-5740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYYA",
"first_name": "ANNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-02",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95032310",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.