Individual provider Active NPI

Ujunwa Jane Nnaji

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1891322145
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014106 Issued in CA
Practice address
4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone
(323) 639-4239
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014106 CA Primary

Addresses

Primary practice location

4857 Huntington Dr N
Los Angeles, CA 90032-1939

Mailing address

4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone (236) 394-2393

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
I20210120002364 CA Practitioner - Nurse Practitioner 7416376082 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014106CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Mobile Medical Alliances, Inc. CurrentSince May 30, 2022 Accepting new patients
Global Medical GRP Inc CurrentSince May 30, 2022 Accepting new patients
Mobile Physicians Medical Allied Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Oct 15, 2020 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Jan 1, 2022 Accepting new patients
California Mobile Medical Group Inc PastSince Nov 19, 2023 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Interoperability endpoints

  • Direct secure messaging: ujunwa.jane.nnaji.1@16145.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1891322145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "236-394-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-639-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAJI",
        "first_name": "UJUNWA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-11-21",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.