Active NPI
Aljo Batin Elizarde, FNP-C
- Family Nurse Practitioner
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030938
- Practice address
- 2944 Tapo Canyon Rd Ste a
Simi Valley, CA 93063-0903 - Phone
- (805) 306-5990
- NPI assigned
- Jul 6, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030938 | CA | Primary |
Addresses
Primary practice location
2944 Tapo Canyon Rd Ste a
Simi Valley, CA 93063-0903
Mailing address
1031 Cavalier Ave
Simi Valley, CA 93065-5005
Phone (818) 384-7333
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825
21835 Ventura Blvd
Suite 21837
Woodland Hills, CA 91364-1838
Phone (818) 600-7348
2944 Tapo Canyon Rd
Suite a
Simi Valley, CA 93063-0903
Phone (805) 306-5990
4550 Van Nuys Blvd
Suite A4
Sherman Oaks, CA 91403-2844
Phone (818) 514-3631
620 E Janss Rd
Thousand Oaks, CA 91360-5113
Phone (805) 495-6866
806 New Los Angeles Ave
Moorpark, CA 93021-3608
Phone (805) 334-8650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Primary Care of California PC | Current | Accepting new patients |
Locations
2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
21835 Ventura Blvd
Ste 21837
Woodland Hills, CA 91364
Phone (818) 600-7348
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1730925074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 CAVALIER AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930655005",
"telephone_number": "818-384-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 TAPO CANYON RD STE A",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930630903",
"telephone_number": "805-306-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZARDE",
"first_name": "ALJO BATIN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-06",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.