Individual provider Active NPI

Alexis Worth, NP

  • Family Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1679994834
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23449 Issued in CA
Practice address
17195 Newhope St Ste 107
Fountain Valley, CA 92708-4211
Phone
(714) 444-2414
NPI assigned
Dec 13, 2013
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 23449 CA Primary

Addresses

Primary practice location

17195 Newhope St Ste 107
Fountain Valley, CA 92708-4211

Mailing address

1949 Marber Ave
Long Beach, CA 90815-3111
Phone (714) 655-0222

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
I20150307000042 CA Practitioner - Nurse Practitioner 4284950346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
In-Home Doctors IncGroup PAC ID 0547455156, 6 clinicians

Practice addresses (Care Compare)

17195 Newhope St
Suite 107
Fountain Valley, CA 92708-4211
Phone (714) 444-2414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23449CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
In-Home Doctors Inc CurrentSince Jan 2, 2016 Accepting new patients

Locations

17195 Newhope St
Ste 107
Fountain Valley, CA 92708
Phone (714) 444-2414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1679994834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 MARBER AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153111",
            "telephone_number": "714-655-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17195 NEWHOPE ST STE 107",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084211",
            "telephone_number": "714-444-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.