Individual provider Active NPI

Ariana Neddermann, FNP-C

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1548049471
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95024407 Issued in CA
Practice address
11525 Brookshire Ave Ste 202
Downey, CA 90241-4983
Phone
(562) 869-1201
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 NP95024407 CA Primary

Addresses

Primary practice location

11525 Brookshire Ave Ste 202
Downey, CA 90241-4983

Mailing address

1101 N Main St Apt 413
Los Angeles, CA 90012-4749

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020000916 CA Practitioner - Nurse Practitioner 4880040260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Oncology Institute Ca, a Professional CorporationGroup PAC ID 5698872398, 114 clinicians

Practice addresses (Care Compare)

11525 Brookshire Ave
Suite 202
Downey, CA 90241-4983
Phone (562) 869-1201

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95024407CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Ca, a Professional Corporation CurrentSince Oct 9, 2023 Accepting new patients
The Oncology Institute Ca, a Professional Corporation CurrentSince Oct 9, 2023 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11525 Brookshire Ave
Ste 202
Downey, CA 90241
Phone (562) 242-2070

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ariana.neddermann@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1548049471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST APT 413",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 202",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414983",
            "telephone_number": "562-869-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDDERMANN",
        "first_name": "ARIANA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95024407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.