Judith Mbewo Foyabo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004049 Issued in CA

Practice address

311 Winston St
Los Angeles, CA 90013-1519

Phone

(213) 893-1960

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Judith Mbewo Caspa Former name

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peyman Younesi MD Professional CorporationGroup PAC ID 9032640164, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: judith.fayabo.p1@direct.scfhc.nextgenshare.com

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.

• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879

  Family

  Medicare reassignment NPD
• Peyman Younesi MD Professional Corporation

  • Internal Medicine Physician
  • Chico, CA
  • NPI 1962104976
  Care Compare group

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1952764680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WINSTON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131519",
            "telephone_number": "213-893-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WINSTON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131519",
            "telephone_number": "213-893-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOYABO",
        "first_name": "JUDITH",
        "middle_name": "MBEWO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "95004049",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "CASPA",
            "middle_name": "MBEWO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael L. Fox, LAC, PHD
• Michelle Ava Fox
• Scott Jeffrey Fox, D.C.
• Timothy Patrick Fox, M.D.
• Alexandria Foy, NP
• Arezoo Fozailoff, M.D.
• Anita Fozoonmehr
• FPTC Management Inc.
• Christian P Frable, MA, AMFT
• Dominique M. Fradin-Read, M.D.,MPH

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.