Adaobi Judith Afonta

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95011766 Issued in CA

Practice address

333 W Broadway Ste 310
Long Beach, CA 90802-4438

Phone

(562) 491-6465

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Levitate Psychiatric Nursing Services Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
  • NPI 1962075200
  NPD Authorized official
• Mind Care Services

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1922516962
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1295385581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BROADWAY STE 310",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024438",
            "telephone_number": "562-491-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFONTA",
        "first_name": "ADAOBI",
        "middle_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aevitus Cura Inc.
• Affiliated Partners Ipa
• Affordable Care411 Network Inc.
• Affordable Family Transportation
• Akinola Emmanuel Afolabi
• Kasra Afzali, MD
• Troynisha Agee
• Agency Rehab, Inc.
• Reshma Gulati Aggarwal, M.D.
• Latifa Aghattass

• Psychiatric/Mental Health Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.

Verify at the official NPI Registry.