Keiko Kondo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10005 Issued in CA

Practice address

6912 Ajax Ave
Bell Gardens, CA 90201-4057

Phone

(562) 867-7999

NPI assigned

Jul 23, 2008

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keiko.kondornp.p1@direct.jwch.nextgenshare.com

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.

• JWCH Institute Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1407808058
  Medicare reassignment NPD
• JWCH Institute Inc

  • Federally Qualified Health Center (FQHC)
  • Lancaster, CA
  • NPI 1073209177
  NPD
• JWCH Institute, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bellflower, CA
  • NPI 1538342704
  NPD
• Fujiwara Medical Group Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1437894870
  NPD (past)
• JWCH Institute, Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1457722126
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1346405990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 AJAX AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 AJAX AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014057",
            "telephone_number": "562-867-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDO",
        "first_name": "KEIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "10005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ki Baek Lee, DDS. Inc.
• Bock J Kim, DDS
• Hyomin Kim
• Jae Youn Kim, D.D.S
• Lillian Koe, M,D.
• Thein Kyaw, MD
• L. Thomas Miller DDS PC
• La Esperanza Medical Clinic, Inc
• William Alberto Lacayo, B.A.
• Arash Lalezary, M.D

• Family Nurse Practitioner in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.