Africajun LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AFRICAJUN LLC

Practice address

39874 Golfers Dr
Palmdale, CA 93551-2982

Phone

(912) 224-0113

NPI assigned

Aug 6, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charit Chimwala Selico, FNP

Title

Ceo

Phone

(912) 224-0113

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: africajun@africajun.com

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1205446903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39874 GOLFERS DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512982",
            "telephone_number": "912-224-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39874 GOLFERS DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512982",
            "telephone_number": "912-224-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFRICAJUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SELICO",
        "authorized_official_first_name": "CHARIT",
        "authorized_official_middle_name": "CHIMWALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-224-0113",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "africajun@africajun.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39874 Golfers Dr",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935512982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, 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 Sep 24, 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.