Elvi A Antwi, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95008807 Issued in CA

Practice address

3046 Hawthorne Rd
Perris, CA 92571-6908

Phone

(410) 660-3963

NPI assigned

Apr 11, 2018

Last updated

Apr 11, 2018By the provider in NPPES

Sex

Female

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 CA, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vance Family Medicine PAGroup PAC ID 9436053014, 30 clinicians

Jandp Spine Center Inc.Group PAC ID 1850632670, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elvi.antwi.1@20247.direct.athenahealth.com

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.

• J&P Spine Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1164980744
  Medicare reassignment Care Compare group NPD
• Vance Family Medicine, PA

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1619938479
  Medicare reassignment Care Compare group NPD
• DLP Person Urgent Care LLC

  • Urgent Care Clinic/Center
  • Roxboro, NC
  • NPI 1275043481
  Medicare reassignment NPD
• J&P Spine Center Inc

  • Interventional Pain Medicine Physician
  • Madera, CA
  • NPI 1043104961
  NPD
• DLP Person Urgent Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Chapel Hill, NC
  • NPI 1417460940
  NPD

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1851898209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 HAWTHORNE RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925716908",
            "telephone_number": "410-660-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 HAWTHORNE RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925716908",
            "telephone_number": "410-660-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTWI",
        "first_name": "ELVI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheerag Amin
• Jennifer Santos Anaya
• Matthew David Anderson, MFT
• Suzanna Anderson
• Mary Ann Pascual Andrew
• Apple Urgent Care, Inc (Apple Urgent Care - Perris)
• Christina Arballo
• Jocelyne Arciga
• Carmencita Benito Arda, NP
• Adriana Ardila, SUDCC I

• Primary Care Nurse Practitioner in Perris, CA
• Providers in Perris, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.
• 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.