Active NPI
Faith Adole, FNP
- Family Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1831626043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006486
- Practice address
- 1017 S Fair Oaks Ave
Pasadena, CA 91105-2621 - Phone
- (626) 403-6200
- NPI assigned
- May 18, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006486 | CA | Primary |
Addresses
Primary practice location
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Mailing address
11105 Acama St
#2
North Hollywood, CA 91602
Other practice location 1
19871 Nordhoff St
Northridge, CA 91324-3331
Phone (818) 359-8833
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 |
|---|---|---|---|
| 95006486 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831626043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11105 ACAMA ST",
"address_2": "#2",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "91602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 S FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052621",
"telephone_number": "626-403-6200"
}
],
"practiceLocations": [
{
"address_1": "19871 Nordhoff St",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913243331",
"country_code": "US",
"telephone_number": "818-359-8833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADOLE",
"first_name": "FAITH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.