Individual provider Active NPI

Zainab M Aderounmu

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1336779396
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011445 Issued in CA
Practice address
2325 Crenshaw Blvd
Torrance, CA 90501-3325
Phone
(310) 972-3345
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011445 CA Primary

Addresses

Primary practice location

2325 Crenshaw Blvd
Torrance, CA 90501-3325

Mailing address

22047 S Salmon Ave
Long Beach, CA 90810-1829
Phone (661) 607-3534

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230830004109 CA Practitioner - Nurse Practitioner 0840653309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Care Health Group CurrentSince Aug 2, 2023 Accepting new patients
Serenity Care Health Group CurrentSince Aug 2, 2023 Accepting new patients
The Vidal Womans Medical Clinic Inc. Past Accepting new patients

Locations

1930 E Anaheim St
Long Beach, CA 90813
Phone (562) 478-4102

515 S Flower St
Fl 18
Los Angeles, CA 90071
Phone (310) 748-8142

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1336779396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22047 S SALMON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908101829",
            "telephone_number": "661-607-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013325",
            "telephone_number": "310-972-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEROUNMU",
        "first_name": "ZAINAB",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.