Individual provider Active NPI

Aidalix Yvonne Arty, FNP

  • Family Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1730993247
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033825 Issued in CA
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

Updated by the provider on Feb 4, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
95033825CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jun 12, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.