Active NPI
Anesa Nelson
- Student in an Organized Health Care Education/Training Program
- Norwalk, CA
National Provider Identifier
1093462673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179 - Phone
- (562) 864-7821
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179
Mailing address
12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179
Phone (562) 864-7821
Other practice location 1
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 702-0134
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients |
Locations
12501 Imperial Hwy
Ste 500B
Norwalk, CA 90650
Phone (562) 745-5946
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, CA
- NPI 1922171073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1093462673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 IMPERIAL HWY STE 500B",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503179",
"telephone_number": "562-864-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 IMPERIAL HWY STE 500B",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503179",
"telephone_number": "562-864-7821"
}
],
"practiceLocations": [
{
"address_1": "15519 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902494525",
"country_code": "US",
"telephone_number": "310-702-0134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "ANESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.