Active NPI
Annie Karanja
- Registered Nurse
- Moreno Valley, CA
National Provider Identifier
1669903621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 638683
- Practice address
- 14908 Norfolk Cir
Moreno Valley, CA 92555-7064 - Phone
- (909) 389-8293
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 638683 | CA | Primary |
Addresses
Primary practice location
14908 Norfolk Cir
Moreno Valley, CA 92555-7064
Mailing address
25920 Iris Ave.
Suite 13a #147
Moreno Valley, CA 92551-1658
Phone (909) 389-8293
Other practice location 1
15660 Lasselle St
Apt O
Moreno Valley, CA 92551-6308
Phone (909) 389-8293
Other practice location 2
25920 Iris Ave.
Suite 13A #147
Moreno Valley, CA 92551-1658
Phone (909) 389-8293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 638683 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669903621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25920 IRIS AVE.",
"address_2": "SUITE 13A #147",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925511658",
"telephone_number": "909-389-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14908 NORFOLK CIR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925557064",
"telephone_number": "909-389-8293"
}
],
"practiceLocations": [
{
"address_1": "15660 Lasselle St",
"address_2": "Apt O",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925516308",
"country_code": "US",
"telephone_number": "909-389-8293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25920 Iris Ave.",
"address_2": "Suite 13A #147",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925511658",
"country_code": "US",
"telephone_number": "909-389-8293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARANJA",
"first_name": "ANNIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "638683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.