Individual provider Active NPI

Alejandra Jasmine Williams

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1942981212
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026322 Issued in CA
Practice address
1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone
(323) 644-3880
NPI assigned
Jul 28, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 95026322 CA Primary

Addresses

Primary practice location

1530 Hillhurst Ave
Los Angeles, CA 90027-5516

Mailing address

9601 Arleta Ave
Arleta, CA 91331-4649
Phone (818) 448-0239

Other names 1

  • Alejandra Jasmine Avalos Former name

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
I20230919000185 CA Practitioner - Nurse Practitioner 4385008747 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Pacific Health Care Venture, Inc. CurrentSince Aug 24, 2023 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Aug 24, 2023 Accepting new patients

Locations

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

Interoperability endpoints

  • Direct secure messaging: alejandra.williams.p1@direct.aphcv.nextgenshare.com

Organizations & group practices 2

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1942981212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 ARLETA AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913314649",
            "telephone_number": "818-448-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275516",
            "telephone_number": "323-644-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALEJANDRA",
        "middle_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRA",
            "last_name": "AVALOS",
            "middle_name": "JASMINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.