Active NPI
Titilayo Adebola Anthonio, LVN
- Licensed Vocational Nurse
- Woodland Hills, CA
National Provider Identifier
1063672053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 214392
- Practice address
- 22337 Welby Way
Woodland Hills, CA 91303-2466 - Phone
- (909) 327-7102
- Fax
- (818) 888-1962
- NPI assigned
- Jun 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 214392 | CA | Primary |
Addresses
Primary practice location
22337 Welby Way
Woodland Hills, CA 91303-2466
Mailing address
22337 Welby Way
Woodland Hills, CA 91303-2466
Phone (909) 327-7102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214392 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1063672053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22337 WELBY WAY",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913032466",
"telephone_number": "909-327-7102",
"fax_number": "818-888-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22337 WELBY WAY",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913032466",
"telephone_number": "909-327-7102",
"fax_number": "818-888-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONIO",
"first_name": "TITILAYO",
"middle_name": "ADEBOLA",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "214392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.