Individual provider Active NPI

Emade Sylvie Njie

  • Physician Assistant
  • Lynwood, CA
National Provider Identifier
1881233229
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4267 Carlin Ave Apt 14
Lynwood, CA 90262-5326
Phone
(619) 609-6979
NPI assigned
Jan 2, 2020
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4267 Carlin Ave Apt 14
Lynwood, CA 90262-5326

Mailing address

PO Box 9086
Redlands, CA 92375-9086
Phone (909) 475-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20200831001681 CA Practitioner - Physician Assistant 9931526316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

41840 Enterprise Cir N
Temecula, CA 92590-5654
Phone (951) 225-6400

8856 Arlington Ave
Riverside, CA 92503-1365
Phone (833) 867-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57960CAMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Vascular a Medical Corporation CurrentSince Apr 6, 2023 Accepting new patients
Neighborhood Healthcare CurrentSince Feb 27, 2023 Accepting new patients
Neighborhood Healthcare CurrentSince Feb 27, 2023 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

8856 Arlington Ave
Riverside, CA 92503
Phone (951) 353-2702

401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1881233229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9086",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923759086",
            "telephone_number": "909-475-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 CARLIN AVE APT 14",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902625326",
            "telephone_number": "619-609-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJIE",
        "first_name": "EMADE",
        "middle_name": "SYLVIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-03-28",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.