Active NPI
Judith Guinhawa Nery, NURSE PRACTITIONER
- Family Nurse Practitioner
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010435
- Practice address
- 17075 Devonshire St
Northridge, CA 91325-1600 - Phone
- (844) 428-5854
- NPI assigned
- Nov 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010435 | CA | Primary |
Addresses
Primary practice location
17075 Devonshire St
Northridge, CA 91325-1600
Mailing address
6406 Fountain Ave
Los Angeles, CA 90028-8118
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355
7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333
8000 W Sunset Blvd
Suite C110
Los Angeles, CA 90046-2439
Phone (213) 412-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010435 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sani and Eshaghian M.D., Inc. | Current | Accepting new patients | |
| Exer Medical Corporation | Current | Accepting new patients |
Locations
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400
17075 Devonshire St
Ste 205
Northridge, CA 91325
Phone (818) 366-2977
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
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 and National Provider Directory roles.
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- NPI 1356897573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543104000000",
"number": "1962971648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6406 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900288118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251600",
"telephone_number": "844-428-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERY",
"first_name": "JUDITH",
"middle_name": "GUINHAWA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-25",
"last_updated": "2018-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.