Active NPI
Ernestine Avery
- Case Manager/Care Coordinator
- Norwalk, CA
National Provider Identifier
1497819429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 12440 Firestone Blvd Ste 3020
Norwalk, CA 90650-9328 - Phone
- (562) 864-7821
- Fax
- (562) 864-7864
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
12440 Firestone Blvd Ste 3020
Norwalk, CA 90650-9328
Mailing address
12440 Firstone Blvd #3025
Norwalk, CA 90650
Phone (562) 929-6688
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1497819429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 FIRSTONE BLVD #3025",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-929-6688",
"fax_number": "562-929-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD STE 3020",
"city": "NORWALK",
"state": "CA",
"postal_code": "906509328",
"telephone_number": "562-864-7821",
"fax_number": "562-864-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "ERNESTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.