Active NPI
Yemi Kayode Akinwole, DNP
- Family Nurse Practitioner
- Wilmington, CA
National Provider Identifier
1740507052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000369
- 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, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 498018 | CA | MD | Registered Nurse |
| 95000369 | CA | MD | Family 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"
}
]
}
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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.