Collins Kipruto Izimba

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95375618 Issued in CA

Practice address

17895 Calle Barcelona
Rowland Heights, CA 91748-2533

Phone

(913) 963-6059

NPI assigned

Feb 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alamo Premier Mental Health PLLCGroup PAC ID 3779903141, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alamo Premier Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1124626114

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1750145355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17895 CALLE BARCELONA",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482533",
            "telephone_number": "913-963-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17895 CALLE BARCELONA",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482533",
            "telephone_number": "913-963-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZIMBA",
        "first_name": "COLLINS",
        "middle_name": "KIPRUTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95375618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonella Ilarini-Cimadomo, BSN, RN, PHN
• Maria Intrieri, CCC-SLP
• Ipill Inc
• Irene Yim Optometric Corp.
• Alec Iskenderian
• Jack Wu MD Inc
• Kameron Jackson
• Maya Jacques
• Jae J. Kim, D.D.S., Inc
• James Fang, D.D.S., Inc.

• Registered Nurse in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.