Individual provider Active NPI

Elizabeth A Gyamfi

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1245857499
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012956 Issued in CA
Practice address
2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743
Phone
(805) 719-3700
Fax
(805) 413-9099
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95074536 CA
Nurse Practitioner 363L00000X 95012956 CA Primary

Addresses

Primary practice location

2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743

Mailing address

135 S State College Blvd Ste 350
Brea, CA 92821-5814
Phone (805) 719-3700

Other practice location 1

501 N Central Ave
Glendale, CA 91203-1901
Phone (805) 719-3700

Other practice location 2

440 N Mountain Ave Ste 103
Upland, CA 91786-5183
Phone (805) 719-3700

Other practice location 3

27555 Ynez Rd Ste 370
Temecula, CA 92591-4678
Phone (805) 719-3700

Other practice location 4

79440 Corporate Center Dr Ste 100
LA Quinta, CA 92253-7243
Phone (805) 719-3700

Other practice location 5

23456 Hawthorne Blvd Ste 140
Torrance, CA 90505-4716
Phone (805) 719-3700

Other practice location 6

77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Phone (805) 719-3700

Other practice location 7

2720 N Harbor Blvd Ste 200
Fullerton, CA 92835-2626
Phone (805) 719-3700

Other practice location 8

24012 Calle De La Plata Ste 230
Laguna Hills, CA 92653-7623
Phone (805) 719-3700

Other practice location 9

333 University Ave Ste 140
Sacramento, CA 95825-6535
Phone (805) 719-3700

Other practice location 10

4520 Executive Dr Ste 227
San Diego, CA 92121-3020
Phone (805) 719-3700

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95074536CAMDRegistered Nurse
95012956CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1245857499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S STATE COLLEGE BLVD STE 350",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215814",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035743",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031901",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 N Mountain Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865183",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27555 Ynez Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914678",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23456 Hawthorne Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054716",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Rolling Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611018",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 N Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352626",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24012 Calle De La Plata Ste 230",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537623",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 University Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256535",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 Executive Dr Ste 227",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213020",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GYAMFI",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95074536",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.