Individual provider Active NPI

Mary Ofili, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1689320848
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019024 Issued in CA
Practice address
2010 Wilshire Blvd Ste 402
Los Angeles, CA 90057-3598
Phone
(213) 413-4203
NPI assigned
Feb 26, 2022
Last updated
Feb 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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 95019024 CA Primary

Addresses

Primary practice location

2010 Wilshire Blvd Ste 402
Los Angeles, CA 90057-3598

Mailing address

5323 Novara Ave
Fontana, CA 92336-0245
Phone (909) 437-4812

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

LicenseStateTypeSpecialty
95019024CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aloria Healthcare Current Accepting new patients
Exito Health Services, LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1689320848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 NOVARA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360245",
            "telephone_number": "909-437-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573598",
            "telephone_number": "213-413-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFILI",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019024",
            "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 Feb 26, 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.

Verify at the official NPI Registry.