Emily L Alexiadis, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95007351 Issued in CA

Practice address

18370 Burbank Blvd Ste 414
Tarzana, CA 91356-2843

Phone

(818) 506-3384

Fax

(818) 774-2298

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

University of California, Geffen School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Comprehensive Infectious Disease Consultants a Medical Corporation

  • Infectious Disease Physician
  • Tarzana, CA
  • NPI 1063886166
  Medicare reassignment
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1891297073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24210 AMARYLLIS CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541210",
            "telephone_number": "661-702-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 414",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562843",
            "telephone_number": "818-506-3384",
            "fax_number": "818-774-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIADIS",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "641934",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "4628",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Quedado Alconcel, M.D.
• Ashley D Alejandre
• Baylee Justine Alexander, PA-C
• Daryl Phyllis Alexander, MD
• Alexi Eyvazi, D.D.S., Inc.
• Ali M. Strocker, M.D. a Professional Corporation
• Zakira Saraya Ali
• Alina C Lopo MD PHD
• All in One Group
• All Valley Eye Institute

• Acute Care Nurse Practitioner in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.