Individual provider Active NPI

Andrea Denise James, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1669945705
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010790 Issued in CA
Practice address
10889 Wellworth Ave
Los Angeles, CA 90024-4918
Phone
(310) 474-2152
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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 95010790 CA Primary

Addresses

Primary practice location

10889 Wellworth Ave
Los Angeles, CA 90024-4918

Mailing address

10889 Wellworth Ave
Los Angeles, CA 90024-4918
Phone (310) 474-2152

Other practice location 1

10300 Compton Ave
Los Angeles, CA 90002-3628
Phone (323) 564-4331 ext. 3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, TN, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211105001316 CA Practitioner - Nurse Practitioner 3375932726 Reassigns benefits to 3 organizations
I20220318001724 WA Practitioner - Nurse Practitioner 3375932726 Reassigns benefits to 1 organization
I20220503002312 TN Practitioner - Nurse Practitioner 3375932726 Reassigns benefits to 1 organization
I20260127001558 OR Practitioner - Nurse Practitioner 3375932726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Medical Group IncGroup PAC ID 6103982962, 60 clinicians

Practice addresses (Care Compare)

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Mar 1, 2020 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Dec 21, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Oct 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Centennial Medical Group Inc. CurrentSince Jan 1, 2026 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Dec 21, 2021 Accepting new patients
Cow Creek Band of Umpqua Tribe of Indians PastSince Aug 8, 2021 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

1150 Baker St
Costa Mesa, CA 92626
Phone (714) 622-7517

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

10889 Wellworth Ave
Los Angeles, CA 90024
Phone (310) 279-9068

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

6518 Quince Rd
Memphis, TN 38119
Phone (901) 229-2283

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Organizations & group practices 9

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1669945705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10889 WELLWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244918",
            "telephone_number": "310-474-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10889 WELLWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244918",
            "telephone_number": "310-474-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Compton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900023628",
            "country_code": "US",
            "telephone_number": "323-564-4331 x3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ANDREA",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.