Kwame Boateng Appiah

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

780872 Issued in CA

Practice address

1180 Sea Lavender LN
Beaumont, CA 92223

Phone

(951) 236-1095

Fax

(951) 689-6856

NPI assigned

Oct 3, 2012

Last updated

Oct 23, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of San Bernardino

  dba Department of Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Bernardino, CA
  • NPI 1164467023
  Medicare reassignment NPD
• County of San Bernardino

  dba Apple Valley Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD
• San Bernardino County

  • Public Health or Welfare Agency
  • San Bernardino, CA
  • NPI 1578535845
  NPD
• County of San Bernardino

  • Public Health or Welfare Agency
  • Barstow, CA
  • NPI 1073783239
  NPD (past)

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1831441690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SEA LAVENDER LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238469",
            "telephone_number": "951-236-1095",
            "fax_number": "951-689-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SEA LAVENDER LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-236-1095",
            "fax_number": "951-689-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Sea Lavender Ln",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "92223",
            "country_code": "US",
            "telephone_number": "951-236-1095",
            "fax_number": "951-689-6856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17719 Robusta Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92503",
            "country_code": "US",
            "telephone_number": "951-236-1095",
            "fax_number": "951-689-6856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPIAH",
        "first_name": "KWAME",
        "middle_name": "BOATENG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "780872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "780872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisca Ammerman, MS, LMFT, PPS
• Douglas Stephan Anders, D.O.
• Andrea Moore Dental Corporation (The Dental Office of Beaumont)
• Amber Eve Andrews, LMFT
• Apex Urgent Care, Inc
• Justine S Asaba
• Ascend Care Collective (Ascend Care Congregate Hom)
• Assisted Living Care Solutions, LLC
• Ashley Avila
• Rita Awender, D.C.

• Registered Nurse in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.