Individual provider Active NPI

Yemi Kayode Akinwole, DNP

  • Family Nurse Practitioner
  • Wilmington, CA
National Provider Identifier
1740507052
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000369 Issued in CA
Practice address
1110 W Anaheim St Ste 6
Wilmington, CA 90744
Phone
(310) 753-2468
Fax
(310) 769-6802
NPI assigned
Apr 26, 2010
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000369 CA Primary
Registered Nurse 163W00000X 498018 CA
Infusion Therapy Registered Nurse 163WI0500X 498018 CA
Infection Control Registered Nurse 163WI0600X 498018 CA

Addresses

Primary practice location

1110 W Anaheim St Ste 6
Wilmington, CA 90744

Mailing address

19703 Galway Ave
Carson, CA 90746-2320
Phone (310) 753-2468

Other practice location 1

10024 S Vermont Ave
Los Angeles, CA 90044-3112
Phone (404) 618-9859

Other names 1

  • Mr. Yemi Kayode Akinwole Professional name

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
498018CAMDRegistered Nurse
95000369CAMDFamily Nurse Practitioner

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1740507052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19703 GALWAY AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462320",
            "telephone_number": "310-753-2468",
            "fax_number": "310-769-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W ANAHEIM ST STE 6",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-753-2468",
            "fax_number": "310-769-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10024 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900443112",
            "country_code": "US",
            "telephone_number": "404-618-9859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINWOLE",
        "first_name": "YEMI",
        "middle_name": "KAYODE",
        "name_prefix": "Mr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "498018",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "498018",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CA",
            "license": "498018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEMI",
            "last_name": "AKINWOLE",
            "middle_name": "KAYODE",
            "prefix": "MR.",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.