Individual provider Active NPI

Linda Joyce Takvorian, FNP-C

  • Family Nurse Practitioner
  • Wilmington, CA
National Provider Identifier
1407354384
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008224 Issued in CA
Practice address
714 N Avalon Blvd
Wilmington, CA 90744-5809
Phone
(310) 522-4200
Fax
(310) 878-0230
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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 NP95008224 CA Primary

Addresses

Primary practice location

714 N Avalon Blvd
Wilmington, CA 90744-5809

Mailing address

215 Barbour St
Playa del Rey, CA 90293-7715
Phone (310) 306-2427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP95008224CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1407354384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BARBOUR ST",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937715",
            "telephone_number": "310-306-2427",
            "fax_number": "310-306-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445809",
            "telephone_number": "310-522-4200",
            "fax_number": "310-878-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKVORIAN",
        "first_name": "LINDA",
        "middle_name": "JOYCE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.