Active NPI
Delali Aku Manah Ladzekpo, FNP-BC
- Nurse Practitioner
- Panorama City, CA
National Provider Identifier
1235657354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95019127
- Practice address
- 14850 Roscoe Blvd
Panorama City, CA 91402-4618 - Phone
- (818) 787-2222
- NPI assigned
- Sep 8, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95118483 | CA | |
| Nurse Practitioner | 363L00000X | 95019127 | CA | Primary |
Addresses
Primary practice location
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Mailing address
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (661) 803-4500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95118483 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| 95019127 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Medical Solutions Inc a Medical Group | Current | Accepting new patients |
Locations
8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426
14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751
14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Adolescent Medicine (Internal Medicine) Physician
- Panorama City, CA
- NPI 1972624955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1235657354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14850 ROSCOE BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024618",
"telephone_number": "661-803-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 ROSCOE BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024618",
"telephone_number": "818-787-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADZEKPO",
"first_name": "DELALI",
"middle_name": "AKU MANAH",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95118483",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95019127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.