Active NPI
Joseph Ngwa Tanifor, NURSE PRACTITIONER
- Gerontology Nurse Practitioner
- Hawthorne, CA
National Provider Identifier
1184931925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP19411
- Practice address
- 11712 Hawthorne Blvd
Hawthorne, CA 90250-2324 - Phone
- (310) 679-9293
- NPI assigned
- Aug 31, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP19411 | CA | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | CNS3298 | CA |
Addresses
Primary practice location
11712 Hawthorne Blvd
Hawthorne, CA 90250-2324
Mailing address
22620 Ocean Ave Apt 18
Torrance, CA 90505-3643
Phone (323) 839-7302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP19411 | CA | MD | Gerontology Nurse Practitioner |
| CNS3298 | CA | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- josephtanifor-youcanhealthservices@lacsapc.netsmartdirect.net
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1184931925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22620 OCEAN AVE APT 18",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053643",
"telephone_number": "323-839-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11712 HAWTHORNE BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502324",
"telephone_number": "310-679-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIFOR",
"first_name": "JOSEPH",
"middle_name": "NGWA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "NP19411",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "CNS3298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.