Active NPI
Folasade Agnes Sanni-Awal, RN.
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1679723944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95029841
- Practice address
- 2046 W 92ND St
Los Angeles, CA 90047-3501 - Phone
- (310) 527-1751
- NPI assigned
- Sep 24, 2008
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95029841 | CA | Primary |
Addresses
Primary practice location
2046 W 92ND St
Los Angeles, CA 90047-3501
Mailing address
21151 S Western Ave
Torrance, CA 90501-1724
Phone (310) 527-1751
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95029841 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Assurance Healthcare Services. LLC | Current | Accepting new patients |
Locations
21151 S Western Ave
Torrance, CA 90501
Phone (267) 234-4679
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Torrance, CA
- NPI 1942838925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1679723944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21151 S WESTERN AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905011724",
"telephone_number": "310-527-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 W 92ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473501",
"telephone_number": "310-527-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANNI-AWAL",
"first_name": "FOLASADE",
"middle_name": "AGNES",
"credential": "RN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95029841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.