Individual provider Active NPI

Erica Nicole Edwards, NP

  • Family Nurse Practitioner
  • Covina, CA
National Provider Identifier
1356162804
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029411 Issued in CA
Practice address
1343 N Grand Ave Ste 100
Covina, CA 91724-4043
Phone
(626) 918-2273
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 95029411 CA Primary

Addresses

Primary practice location

1343 N Grand Ave Ste 100
Covina, CA 91724-4043

Mailing address

175 N Myrtle Ave Apt C
Monrovia, CA 91016-5593
Phone (626) 419-8078

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
I20241115003941 CA Practitioner - Nurse Practitioner 2769916469 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lev Grinman MD 3 Professional Corporation CurrentSince Feb 1, 2025 Accepting new patients
California Wound Healing Medical Group Inc. CurrentSince Apr 1, 2025 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince Feb 2, 2026 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 203
Alhambra, CA 91801

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

450 N Brand Blvd
Ste 600
Glendale, CA 91203
Phone (818) 369-1170

Organizations & group practices 4

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1356162804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N MYRTLE AVE APT C",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165593",
            "telephone_number": "626-419-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N GRAND AVE STE 100",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244043",
            "telephone_number": "626-918-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.