Individual provider Active NPI

Proscovia Mayanja, FNP

  • Family Nurse Practitioner
  • West Hills, CA
National Provider Identifier
1184023830
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23483 Issued in CA
Practice address
22560 Napa St
West Hills, CA 91304-2244
Phone
(818) 999-9112
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23483 CA Primary

Addresses

Primary practice location

22560 Napa St
West Hills, CA 91304-2244

Mailing address

22560 Napa St
West Hills, CA 91304-2244

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
I20161216001803 CA Practitioner - Nurse Practitioner 8325328966 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23483CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Proyecto del Barrio, Inc. CurrentSince Nov 9, 2016 Accepting new patients
El Proyecto del Barrio, Inc. Current Accepting new patients
Ukiah Adventist Hospital CurrentSince Nov 1, 2023 Accepting new patients
El Proyecto del Barrio, Inc. CurrentSince Nov 9, 2016 Accepting new patients
Willits Hospital Inc. CurrentSince Nov 1, 2023 Accepting new patients

Locations

8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Interoperability endpoints

  • Direct secure messaging: proscovia.mayanjafnp.p1@direct.jwch.nextgenshare.com

Organizations & group practices 5

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1184023830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22560 NAPA ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913042244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22560 NAPA ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913042244",
            "telephone_number": "818-999-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYANJA",
        "first_name": "PROSCOVIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.