Organization Active NPI

Elom Psychiatric Nurse Practitioners

  • Psychiatric/Mental Health Nurse Practitioner
  • Harbor City, CA
National Provider Identifier
1730948514
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELOM PSYCHIATRIC NURSE PRACTITIONERS
Practice address
1177 Woodbury Dr
Harbor City, CA 90710-1242
Phone
(310) 729-4701
Fax
(310) 729-4701
NPI assigned
Mar 15, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Anne Winfrey, NPNPI 1306544549
Title
Owner
Phone
(310) 729-4701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1177 Woodbury Dr
Harbor City, CA 90710-1242

Mailing address

1177 Woodbury Dr
Harbor City, CA 90710-1242
Phone (310) 729-4701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1730948514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 WOODBURY DR",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101242",
            "telephone_number": "310-729-4701",
            "fax_number": "310-729-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 WOODBURY DR",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101242",
            "telephone_number": "310-729-4701",
            "fax_number": "310-729-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOM PSYCHIATRIC NURSE PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "WINFREY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-729-4701",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.