Adrienne Elaine Bawa, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

750357 Issued in CA

Practice address

200 Medical Plaza
Los Angeles, CA 90095-0001

Phone

(310) 267-8233

Fax

(310) 825-9524

NPI assigned

Oct 29, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1497355366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 LANAI RD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363617",
            "telephone_number": "760-662-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-267-8233",
            "fax_number": "310-825-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWA",
        "first_name": "ADRIENNE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "750357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adille@mednet.ucla.edu",
            "affiliation": "N",
            "endpointDescription": "UCLA Employee secure Email.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Medical Plaza",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosana Bautista, M.S., BCBA
• Roxanne Bautista, LVN
• Ruben Silviano Bautista, LMFT
• Laura Bava, PSY.D.
• Rebecca Ann Bavolek, MD
• Lindsee Bawahab
• Shilpa Baweja, LCSW
• Elinor Bawnik
• Kesha Baxi
• Marie-Paul Baxiu, C.C.H., C.H.I., R.P.

• Case Management Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.