Edafe Lans Alex Ikpuri

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

01210033 Issued in CA

Practice address

924 Gaviota Ave Apt 202
Long Beach, CA 90813-6314

Phone

(562) 485-1156

NPI assigned

Jul 7, 2022

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1306579271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 GAVIOTA AVE APT 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908136314",
            "telephone_number": "562-485-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 GAVIOTA AVE APT 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908136314",
            "telephone_number": "562-485-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKPURI",
        "first_name": "EDAFE",
        "middle_name": "LANS ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "01210033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle Ignacio
• Ijeoma C. Igwe, D.D.S.
• Amauchechi Chidozie Ihenacho
• Holly Ihle, PH.D.
• Falastina Faye Ihmud
• Kaeli Jordan Ilagan-Evangelista
• Anna Victoria Flores Ilagan, MD
• Jewel Illis
• Illuminate Psychotherapy, a Marriage & Family Therapy Inc
• Agatha Ndudi Iloka, FNP

• Nurse's Aide in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse's Aide in California

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