Active NPI
Bella Darji
- Nurse Practitioner
- Irvine, CA
National Provider Identifier
1114454113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95008706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95156003 | CA | MD | Registered Nurse |
| 041418025 | IL | MD | Registered Nurse |
| 209015771 | IL | MD | Nurse Practitioner |
| F01171107 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Home Physicians Inc | Current | 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.
-
- Family Medicine Physician
- San Clemente, CA
- NPI 1750528170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.