Zainab M Aderounmu
Individual provider Active NPI Family Nurse Practitioner · Torrance, CA
NPI 1336779396 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1336779396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95011445 (CA)
- Practice address
- 2325 Crenshaw Blvd
Torrance, CA 90501-3325 - Phone
- (310) 972-3345
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830004109 | CA | Practitioner - Nurse Practitioner | 0840653309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Care Health Group | Current |
Accepting new patients | |
| Serenity Care Health Group | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95011445 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXXXXX | Other | NONE |
Other providers in Torrance, CA
- Rukky Adanike
- Irina Addes
- Addis Medical Group a Medical Corporation
- Grace O Adeagbo
- Asiata Oyinlade Adekunle
- Chelsea Ades
- Adf Investments LLC
- Omid Adibnazari
- Sharon G Adler
- Adnab Research, Inc.
All providers in Torrance, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.