Active NPI
Ifeoma Cynthia Aniemeka I
- Family Nurse Practitioner
- Downey, CA
National Provider Identifier
1649804386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF95010914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240222002317 | CA | Practitioner - Nurse Practitioner | 8729422316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95010914 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H Soliman Medical Corporation | Past | Accepting new patients | |
| Optimum Medical Supply Corporation | Past | Accepting new patients | |
| Hisham Soliman MD Inc | Past | Accepting new patients | |
| Ehab Yacoub MD Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Folsom, CA
- NPI 1710595889
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Folsom, CA
- NPI 1700199080
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1720650476
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.