Individual provider Active NPI

Elizabeth W Nganga, REGISTERED NURSE

  • Registered Nurse
  • Altadena, CA
National Provider Identifier
1194299164
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
709238 Issued in CA
Practice address
2325 Navarro Ave
Altadena, CA 91001-5615
Phone
(818) 291-3913
NPI assigned
Jan 14, 2019
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 709238 CA Primary

Addresses

Primary practice location

2325 Navarro Ave
Altadena, CA 91001-5615

Mailing address

2325 Navarro Ave
Altadena, CA 91001-5615
Phone (818) 291-3913

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

LicenseStateTypeSpecialty
709238CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1194299164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 NAVARRO AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910015615",
            "telephone_number": "818-291-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 NAVARRO AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910015615",
            "telephone_number": "818-291-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGANGA",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "709238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.