Individual provider Active NPI

Weliya M Bajiba, APRN

  • Family Nurse Practitioner
  • Marysville, CA
National Provider Identifier
1235699406
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95011338 Issued in CA
Practice address
414 G St Ste 208
Marysville, CA 95901-5669
Phone
(530) 741-1122
NPI assigned
Mar 22, 2019
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9328983 FL
Family Nurse Practitioner 363LF0000X NP95011338 CA Primary

Addresses

Primary practice location

414 G St Ste 208
Marysville, CA 95901-5669

Mailing address

751 Central Park Dr Apt 924
Roseville, CA 95678-3519
Phone (407) 844-2934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190905000849 CA Practitioner - Nurse Practitioner 9739418419 Reassigns benefits to 1 organization
I20211207000668 FL Practitioner - Nurse Practitioner 9739418419 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

Practice addresses (Care Compare)

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

40100 Hwy 27
Davenport, FL 33837-5906
Phone (863) 422-4971

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011338CAMDFamily Nurse Practitioner
9328983FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Single Specialty Current Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Dec 3, 2021 Accepting new patients
Lake Wales Emergency Physicians, LLC Single Specialty CurrentSince Feb 24, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Dec 3, 2021 Accepting new patients
Cep America - California Single Specialty CurrentSince May 1, 2020 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC Single Specialty CurrentSince Dec 3, 2021 Accepting new patients
Cep America-California CurrentSince May 1, 2020 Accepting new patients
Dwic of Tampa Bay, Inc Single Specialty CurrentSince Dec 3, 2021 Accepting new patients
Ridgewood Emergency Group, LLC CurrentSince Feb 24, 2023 Accepting new patients
Ridgewood Emergency Group, LLC Single Specialty CurrentSince Feb 24, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. Single Specialty Current Accepting new patients
Heathrow Internal Medicine LLC Single Specialty Past Accepting new patients
Micah Berry M D Inc a Professional Corporation Single Specialty PastSince Feb 19, 2023 Accepting new patients
Michael R. Cosenza, DPM, Inc. Single Specialty PastSince Feb 28, 2018 Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1235699406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CENTRAL PARK DR APT 924",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783519",
            "telephone_number": "407-844-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST STE 208",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015669",
            "telephone_number": "530-741-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJIBA",
        "first_name": "WELIYA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9328983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.