Individual provider Active NPI

Ifeoma Cynthia Aniemeka I

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1649804386
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95010914 Issued in CA
Practice address
11938 Paramount Blvd
Downey, CA 90242-2306
Phone
(562) 923-6060
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95010914 CA
Community Health Nurse Practitioner 363LC1500X NPF95010914 CA
Primary Care Nurse Practitioner 363LP2300X NPF95010914 CA
Family Nurse Practitioner 363LF0000X NPF95010914 CA Primary

Addresses

Primary practice location

11938 Paramount Blvd
Downey, CA 90242-2306

Mailing address

1633 W 147TH St
Gardena, CA 90247-2839
Phone (818) 922-7339

Other practice location 1

1225 W 190TH Street Gardena, Ca 90248
Suite 280
Gardena, CA 90248-9024
Phone (310) 515-8113

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
I20240222002317 CA Practitioner - Nurse Practitioner 8729422316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95010914CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
H Soliman Medical Corporation Past Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 Accepting new patients
Hisham Soliman MD Inc PastSince Feb 18, 2020 Accepting new patients
Ehab Yacoub MD Inc. PastSince Jan 14, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: advancedpsychiatryassociates.ifeomaaniemeka@157293.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1649804386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W 147TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472839",
            "telephone_number": "818-922-7339",
            "fax_number": "818-922-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11938 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422306",
            "telephone_number": "562-923-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W 190TH STREET GARDENA, CA 90248",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902489024",
            "country_code": "US",
            "telephone_number": "310-515-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANIEMEKA",
        "first_name": "IFEOMA",
        "middle_name": "CYNTHIA",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95010914",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "NPF95010914",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NPF95010914",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95010914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.