Joann Adams, FNP
Individual provider Active NPI Nurse Practitioner · Escondido, CA
NPI 1386048544 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1386048544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95000829 (CA)
- Practice address
- 500 La Terraza Blvd
Escondido, CA 92025-3875 - Phone
- (760) 737-2050
- NPI assigned
- Oct 17, 2014
- 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 |
|---|---|---|---|---|
| I20150119000689 | CA | Practitioner - Nurse Practitioner | 3971827122 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000829 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
4760 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-0567
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95000829 | CA | Yes |
Addresses
Primary practice location
500 La Terraza Blvd
Escondido, CA 92025-3875
Mailing address
500 La Terraza Blvd
Escondido, CA 92025-3875
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Escondido, CA
- Activus Transport LLC
- Acts Care Hospice Inc.
- Acupuncture&Chiropractic Center of Escondido Professional Corporation
- Adal Hospice Inc
- Cameron Adams
- Karen Adams
- Socorro Adan
- Adapt Physical Therapy, a Professional Corporation
- Amy Lou Adargo
- John D Adeiza
All providers in Escondido, CA · 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 Nov 30, 2021. 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.