Individual provider Active NPI

Ernestine N Njie

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1245096684
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95028891 Issued in CA
Practice address
530 E Washington Blvd
Los Angeles, CA 90015-3723
Phone
(213) 747-2626
Fax
(213) 749-7500
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 95028891 CA Primary

Addresses

Primary practice location

530 E Washington Blvd
Los Angeles, CA 90015-3723

Mailing address

510 S Burnside Ave Apt 8J
Los Angeles, CA 90036-6801
Phone (424) 335-5569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028891CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afshin Akhavan D.O., a Professional Corporation Single Specialty CurrentSince Feb 25, 2024 Accepting new patients
Pediatric Affiliates Medical Group Inc Single Specialty Past Accepting new patients
Cedars-Sinai Medical Center Single Specialty Past Accepting new patients
Healthylife MG Corp Single Specialty Past Accepting new patients

Locations

530 E Washington Blvd
Los Angeles, CA 90015
Phone (213) 633-5480

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1245096684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S BURNSIDE AVE APT 8J",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366801",
            "telephone_number": "424-335-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153723",
            "telephone_number": "213-747-2626",
            "fax_number": "213-749-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJIE",
        "first_name": "ERNESTINE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95028891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.