Active NPI
Ndidiamaka Amadi, LVN
- Licensed Vocational Nurse
- Los Angeles, CA
National Provider Identifier
1104717776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN722642
- Practice address
- 12021 Wilmington Ave BLDG 18
Los Angeles, CA 90059-3019 - Phone
- (424) 454-5470
- NPI assigned
- Jul 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN722642 | CA | Primary |
Addresses
Primary practice location
12021 Wilmington Ave BLDG 18
Los Angeles, CA 90059-3019
Mailing address
12021 Wilmington Ave BLDG 18
Los Angeles, CA 90059-3019
Phone (424) 454-5470
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ndamadi@recoverysolutions.us |
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 |
|---|---|---|---|
| VN722642 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1104717776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE BLDG 18",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "424-454-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE BLDG 18",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "424-454-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADI",
"first_name": "NDIDIAMAKA",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-11",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN722642",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ndamadi@recoverysolutions.us",
"affiliation": "N",
"address_1": "12021 Wilmington Ave Bldg 18",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900593019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.