Active NPI
Mariangela Adrianzen
- Family Nurse Practitioner
- Lancaster, CA
National Provider Identifier
1508520859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017954
- Practice address
- 44725 10TH St West Ste 210
Lancaster, CA 93534 - Phone
- (661) 726-3724
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1629079009
CA
-
- Federally Qualified Health Center (FQHC)
- Pacoima, CA
- NPI 1114928595
-
- Federally Qualified Health Center (FQHC)
- Santa Clarita, CA
- NPI 1548960834
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220330002680 | CA | Practitioner - Nurse Practitioner | 3577959576 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017954 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients |
Locations
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
Interoperability endpoints
- mariangela.adrianzen.p1@direct.nevhc.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017954 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
44725 10TH St West Ste 210
Lancaster, CA 93534
Mailing address
1926 Parkwood CT
Thousand Oaks, CA 91362
Phone (818) 424-5491
Other names 1
NPPES NPI Registry- Maria Angela Adrianzen-Sohngen
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2021.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1508520859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 PARKWOOD CT",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91362",
"telephone_number": "818-424-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44725 10TH ST WEST STE 210",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-726-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIANZEN",
"first_name": "MARIANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "ADRIANZEN-SOHNGEN",
"middle_name": "ANGELA",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.