Ajk Perioperative Nursing Services Incorporated

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

AJK PERIOPERATIVE NURSING SERVICES INCORPORATED

Practice address

30200 Agoura Rd Ste 195
Agoura Hills, CA 91301-5432

Phone

(805) 497-3622

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Amelia KolencNPI 1487150744

Title

Nurse Practitioner

Phone

(412) 508-0806

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amelia Jean Kolenc

  • Family Nurse Practitioner
  • Tarzana, CA
  • NPI 1487150744
  NPD Authorized official
• Alan Siu, MD

  • Neurological Surgery Physician
  • Ventura, CA
  • NPI 1306073457
  NPD

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1174195085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21201 KITTRIDGE ST APT 9406",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913035044",
            "telephone_number": "412-508-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 195",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015432",
            "telephone_number": "805-497-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Rolling Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611050",
            "country_code": "US",
            "telephone_number": "805-777-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AJK PERIOPERATIVE NURSING SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "KOLENC",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "412-508-0806"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487150744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Christy Agrios, N.D.
• Brittany Aguado, NP
• Meredith Agustin
• Sandra Day Morales Agustin, PHARMD
• Aimee E. Anderson, PH.D. a Professional Psychology Corporation
• Alexanian Medical Consulting Inc
• Nimira Samir Alibhoy, DC
• Irit Almog, MA, LMFT
• Marvin Wade Altom, PH.D
• American Home Health

• Registered Nurse First Assistant in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.