Individual provider Active NPI

Adowa Serwa Osei Nyarko, RN. CCM

  • Administrator Registered Nurse
  • Valencia, CA
National Provider Identifier
1245350461
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
790732 Issued in CA
Practice address
24910 Avenue Tibbitts Ste 5
Valencia, CA 91355-3426
Phone
(661) 771-6609
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 790732 CA
Case Management Registered Nurse 163WC0400X 4205479 CA
Community Health Registered Nurse 163WC1500X 790732 CA
Home Health Registered Nurse 163WH0200X 790732 CA
Hospice Registered Nurse 163WH1000X 790732 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 790732 CA
Wound Care Registered Nurse 163WW0000X 790732 CA
Administrator Registered Nurse 163WA2000X 790732 CA Primary

Addresses

Primary practice location

24910 Avenue Tibbitts Ste 5
Valencia, CA 91355-3426

Mailing address

24910 Avenue Tibbitts
Valencia, CA 91355-3426

Other names 1

  • Gifty La Var Davis Former name

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

State licenses

LicenseStateTypeSpecialty
4205479CAMDCase Management Registered Nurse
790732CAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Qu Bit Healthcare Management. LLC Registered Nurse PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 1

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1245350461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24910 AVENUE TIBBITTS",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 AVENUE TIBBITTS STE 5",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553426",
            "telephone_number": "661-771-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI NYARKO",
        "first_name": "ADOWA SERWA",
        "credential": "RN. CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "790732",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "4205479",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "790732",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "790732",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "790732",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "790732",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "790732",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "790732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIFTY",
            "last_name": "LA VAR DAVIS",
            "credential": "RN. CCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

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