Individual provider Active NPI

Philip Antwi - Badu, FNP

  • Family Nurse Practitioner
  • Oakhurst, CA
National Provider Identifier
1609301340
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007443 Issued in CA
Practice address
49169 Road 426
Oakhurst, CA 93644-8702
Phone
(559) 664-4000
Fax
(559) 675-5224
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180320003286 CA Practitioner - Nurse Practitioner 6901168459 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health Family CurrentSince Jan 15, 2019 Accepting new patients
Golden Valley Health Center CurrentSince Apr 27, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Camarena Health CurrentSince Jan 15, 2019 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

1717 Las Vegas St
Modesto, CA 95358
Phone (209) 476-4200

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

200 C St
Patterson, CA 95363
Phone (209) 892-6307

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007443 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

49169 Road 426
Oakhurst, CA 93644-8702

Mailing address

1960 Lily Stem TRL
Auburn, GA 30011-2150
Phone (770) 855-0394

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2019.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1609301340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 LILY STEM TRL",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112150",
            "telephone_number": "770-855-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49169 ROAD 426",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448702",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTWI - BADU",
        "first_name": "PHILIP",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.