Christiana Chima Anisi, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

20398 Issued in CA

Practice address

2112 S. Garey Ave
Suite C
Pomona, CA 91766-5600

Phone

(909) 464-0520

Fax

(909) 464-0523

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temecula Family Medical Professional Corporation

  • Family Nurse Practitioner
  • Temecula, CA
  • NPI 1841095908
  Medicare reassignment Authorized official
• Feras and Hisham a Medical Corporation

  dba Family First Medical Clinic

  • Health Service Clinic/Center
  • Pomona, CA
  • NPI 1700055274
  NPD (past)
• St John Community Health Center

  • Community Health Clinic/Center
  • Pomona, CA
  • NPI 1962069393
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1215214325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14297 ANACAPA CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363786",
            "telephone_number": "909-829-0802",
            "fax_number": "909-464-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 S. GAREY AVE",
            "address_2": "SUITE C",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665600",
            "telephone_number": "909-464-0520",
            "fax_number": "909-464-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISI",
        "first_name": "CHRISTIANA",
        "middle_name": "CHIMA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Isabel Angon Gonzalez
• Alexandra J Anguiano
• Juan Carlos Anguiano Jr.
• Nancy Rosario Angulo Garcia Jr.
• Jocelyn Angulo
• Marriam Anjum
• Anka Behavioral Health, Inc. (Barbara Lane)
• Anka Behavioral Health, Inc. (Cottontail House)
• Bryan Nicholas Anker, MD
• Cameron Shahzada Ansari, DO (STUDENT)

• Nurse Practitioner in Pomona, CA
• Providers in Pomona, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.