Ninia R Carvajal, N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95006625 Issued in CA

Practice address

121 W Lexington Dr Ste 303B
Glendale, CA 91203-2203

Phone

(818) 671-0012

Fax

(818) 671-5581

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carvajal and Alquiroz Mobile Professionals Inc- a Professional NGroup PAC ID 5395114912, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Carvajal & Alquiroz Mobile Professionals Inc- a Professional N

  • Nurse Practitioner
  • Glendale, CA
  • NPI 1164159364
  Medicare reassignment Care Compare group NPD Authorized official
• A&E Medical Group-a Professional Nursing Corporation

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1306424502
  Medicare reassignment NPD
• Care Connect Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669971
  Medicare reassignment NPD
• Providence Facey Medical Foundation

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588
  Medicare reassignment NPD
• Providence Facey Medical Foundation

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• California Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  NPD (past)
• Paramount Healthcare - a Professional Nursing Corporation

  • Adult Health Nurse Practitioner
  • Glendale, CA
  • NPI 1588542427
  NPD (past)
• Providence Facey Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Mission Hills, CA
  • NPI 1194083824
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1326535105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 303B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "626-274-5411",
            "fax_number": "818-671-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 303B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-671-0012",
            "fax_number": "818-671-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11333 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451116",
            "country_code": "US",
            "telephone_number": "818-869-7268",
            "fax_number": "818-869-7136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "NINIA",
        "middle_name": "R",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006625",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95006625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Carrillo
• Sarah Rossmiller Carroll, M.D.
• Katherine Cartagena
• Carvajal & Alquiroz Mobile Professionals Inc- a Professional N
• Emily Jane Carvajal, FNP-BC
• Samuel H. Carvajal, MD
• Erin Kathleen Casey, LCSW
• Paulina Isabel Castaneda Cedillo
• Kevin Castaneda
• Guadalupe Castellanos

• Primary Care Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.