Armida Fajardo, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95022824 Issued in CA

Practice address

2250 Gladstone Dr Ste 2
Pittsburg, CA 94565-5124

Phone

(925) 432-6208

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afajardo176179@ehr.johnmuirhealth.com
• Direct secure messaging: afajardo142333@hisp.ehr.sutterhealth.org

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.

• Nabil K Abudayeh MD Professional Corporation

  • Cardiovascular Disease Physician
  • Castro Valley, CA
  • NPI 1558558023
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  dba Eden Medical Center

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1063812907
  Care Compare affiliation

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1043934524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HUNTLEY AVE",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911502",
            "telephone_number": "510-861-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GLADSTONE DR STE 2",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655124",
            "telephone_number": "925-432-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Paul Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949032047",
            "country_code": "US",
            "telephone_number": "415-578-4983",
            "fax_number": "415-578-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Continente Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945137102",
            "country_code": "US",
            "telephone_number": "925-684-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "ARMIDA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siamak Elyasi, M.D.
• Ema Board and Carehome
• Denise Emery
• Enlight Consulting Co
• Ma Stephanie Nares Enriquez, ADMINISTRATOR, OWNER
• Fam Care Homes, LLC
• Family at Large LLC
• Famly Medical Transport LLC
• Hala M Fattah, MD
• Jasmin Ramos Faustino, PT

• Family Nurse Practitioner in Pittsburg, CA
• Providers in Pittsburg, 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 Aug 22, 2023; 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.