Alicia Naomi Nishioka

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95009492 Issued in CA

Practice address

5950 Brayton Ave
Long Beach, CA 90805-4260

Phone

(310) 347-7672

NPI assigned

Mar 7, 2019

Last updated

Mar 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Share Our Selves Corporation

  dba Share Our Selves Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1508073685
  Medicare reassignment NPD
• Share Our Selves Corporation

  dba SOS Children & Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newport Beach, CA
  • NPI 1033514708
  NPD
• Share Our Selves Corporation

  dba Share Our Selves Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144717778
  NPD
• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1669258612
  NPD
• Whole Person Care Clinic

  • Primary Care Clinic/Center
  • Escondido, CA
  • NPI 1922790906
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1689132771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 BRAYTON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054260",
            "telephone_number": "310-347-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 BRAYTON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054260",
            "telephone_number": "310-347-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIOKA",
        "first_name": "ALICIA",
        "middle_name": "NAOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Nino
• Kathlyn Aiko Ninomiya, R.D.H.
• Yusuke Ninomiya, LCSW
• Visal Nip, R.T.(R)(CT) (ARRT)
• Kyle F Nishimura
• Craig Nishioka, L.C.S.W
• Nikolay Nisimov, COTA
• Kim Edward Nissen, M.A,
• Christopher Paul Nitollama, M.S.P.T.
• Cindy Ugochi Njemanze, MD

• Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.

Verify at the official NPI Registry.