Individual provider Active NPI

Nneamaka Ajalla Priest, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1831450519
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A151054 Issued in CA
Practice address
321 N Larchmont Blvd Ste 1020
Los Angeles, CA 90004-6410
Phone
(323) 960-8500
Fax
(323) 960-8585
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 29242 OK
Pediatrics Physician 208000000X A151054 CA Primary

Addresses

Primary practice location

321 N Larchmont Blvd Ste 1020
Los Angeles, CA 90004-6410

Mailing address

321 N Larchmont Blvd Ste 1020
Los Angeles, CA 90004-6410
Phone (323) 960-8500

Other practice location 1

940 NE 13th St
Oklahoma City, OK 73104-5008
Phone (405) 271-4417

Other names 1

  • Nneamaka Ajalla Former 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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151054CAMDPediatrics Physician
29242OKMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: amaka.ajalla.priest@672893147414532.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1831450519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD STE 1020",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046410",
            "telephone_number": "323-960-8500",
            "fax_number": "323-960-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD STE 1020",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046410",
            "telephone_number": "323-960-8500",
            "fax_number": "323-960-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045008",
            "country_code": "US",
            "telephone_number": "405-271-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIEST",
        "first_name": "NNEAMAKA",
        "middle_name": "AJALLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29242",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A151054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NNEAMAKA",
            "last_name": "AJALLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.