Individual provider Active NPI

Annissa Marie Bridgeforth, RN

  • Women's Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1174210355
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95033021 Issued in CA
Practice address
8631 W 3Rd St Ste 810E
Los Angeles, CA 90048-5958
Phone
(310) 967-4324
Fax
(310) 967-3892
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95033021 CA Primary
Registered Nurse 163W00000X RN00001519 DC

Addresses

Primary practice location

8631 W 3Rd St Ste 810E
Los Angeles, CA 90048-5958

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 967-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003758 CA Practitioner - Nurse Practitioner 9830619352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 610E
Los Angeles, CA 90048-5910
Phone (310) 829-7678

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00001519DCMDRegistered Nurse
95033021CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 24, 2025 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8631 W 3rd St
Ste 610E
Los Angeles, CA 90048
Phone (310) 659-9470

1922 Hillhurst Ave
Fl 2
Los Angeles, CA 90027
Phone (310) 423-6185

8631 W 3rd St
Ste 510E
Los Angeles, CA 90048
Phone (310) 278-1490

8635 W 3rd St
Ste 690W
Los Angeles, CA 90048
Phone (310) 276-1721

8631 W 3rd St
Ste 840E
Los Angeles, CA 90048

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8635 W 3rd St
Ste 475W
Los Angeles, CA 90048
Phone (213) 657-3792

8631 W 3rd St
Ste 810E
Los Angeles, CA 90048
Phone (310) 652-3570

12746 W Jefferson Blvd
#4000
Playa Vista, CA 90094
Phone (310) 423-4898

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: abridgeforth499808@direct.cshs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1174210355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "310-967-4324",
            "fax_number": "310-967-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 810E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485958",
            "telephone_number": "310-967-4324",
            "fax_number": "310-967-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEFORTH",
        "first_name": "ANNISSA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95033021",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN00001519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.