Joy Efanga

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95002956 Issued in CA

Practice address

3500 W Manchester Blvd Unit 75
Inglewood, CA 90305-4075

Phone

(310) 672-1531

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1205298494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W MANCHESTER BLVD UNIT 75",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903054075",
            "telephone_number": "310-672-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W MANCHESTER BLVD UNIT 75",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903054075",
            "telephone_number": "310-672-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFANGA",
        "first_name": "JOY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002956",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "RN410079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Garden West, Inc. Medical Supply
• Herbert Edmonds Jr.
• Audrey Antoniette Edwards
• Channe Edwards
• Dinesh Kumar Eetala
• Solomon Egbuho, PH.D.
• Sarah Eggers
• Marissa L Eggert, MFT
• Abdul Habib Eimal Latif, MD
• Teshager Gashaw Ejigu, M.D.

• Family Nurse Practitioner in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.