Active NPI
Aidalix Yvonne Arty, FNP
- Family Nurse Practitioner
- Oakland, CA
National Provider Identifier
1730993247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95033825
- Practice address
- 1400 Broadway
Oakland, CA 94612-2004 - Phone
- (877) 855-7526
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 95033825 | CA | Primary |
Addresses
Primary practice location
1400 Broadway
Oakland, CA 94612-2004
Mailing address
260 30TH St Unit 620
Oakland, CA 94611-5975
Phone (646) 824-4951
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826002542 | CA | Practitioner - Nurse Practitioner | 6204336944 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 E Ogden Ave
Suite 105 313
Naperville, IL 60563-3103
1691 The Alameda
San Jose, CA 95126-2203
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033825 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients |
Locations
1032 A St
Hayward, CA 94541
Phone (510) 300-3800
1400 Broadway
Oakland, CA 94612
Phone (510) 893-4265
1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526
Interoperability endpoints
- aidalix.arty.p1@direct.ppmarmonte.nextgenshare.com
Organizations & group practices 3
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.
-
- Community Health Clinic/Center
- Oakland, CA
- NPI 1245042290
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1598536971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1730993247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 30TH ST UNIT 620",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115975",
"telephone_number": "646-824-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122004",
"telephone_number": "877-855-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTY",
"first_name": "AIDALIX",
"middle_name": "YVONNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95033825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.