Individual provider Active NPI

Bella Darji

  • Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1114454113
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95008706 Issued in CA
Practice address
16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone
(949) 727-5200
NPI assigned
May 22, 2017
Reactivated
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95156003 CA
Registered Nurse 163W00000X 041418025 IL
Family Nurse Practitioner 363LF0000X F01171107 IL
Nurse Practitioner 363L00000X 209015771 IL
Family Nurse Practitioner 363LF0000X 209015771 IL
Nurse Practitioner 363L00000X 95008706 CA Primary

Addresses

Primary practice location

16250 Sand Canyon Ave
Irvine, CA 92618-3714

Mailing address

16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (847) 687-6669

Other names 1

  • Ms. Bella Darji Professional name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95156003CAMDRegistered Nurse
041418025ILMDRegistered Nurse
209015771ILMDNurse Practitioner
F01171107ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Home Physicians Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

3 Pursuit
Aliso Viejo, CA 92656
Phone (949) 362-9662

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

1001 Avenida Pico
Ste C517
San Clemente, CA 92673
Phone (949) 226-8416

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1114454113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 SAND CANYON AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183714",
            "telephone_number": "847-687-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 SAND CANYON AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183714",
            "telephone_number": "949-727-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARJI",
        "first_name": "BELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "deactivation_date": "2022-03-06",
        "reactivation_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95156003",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041418025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F01171107",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015771",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BELLA",
            "last_name": "DARJI",
            "prefix": "MS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.