Active NPI
Annissa Marie Bridgeforth, RN
- Women's Health Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95033021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00001519 | DC | MD | Registered Nurse |
| 95033021 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | 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
- 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.