Raphaela Adadevoh

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95129876 Issued in CA

Practice address

4787 Moorpark Ave Apt 35
Moorpark, CA 93021-4160

Phone

(678) 471-8057

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972028686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4787 MOORPARK AVE APT 35",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930214160",
            "telephone_number": "678-471-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4787 MOORPARK AVE APT 35",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930214160",
            "telephone_number": "678-471-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADADEVOH",
        "first_name": "RAPHAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95129876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Ababseh, NATABOC ATC,
• Sohail Abdi-Moradi, M.D.
• Fadel Abdulhai, D.O.
• Vanessa Marie Acero
• Anahid Acopian, DMD
• Advanced Family Vision Center Inc
• Adventist Health Physicians Network
• Adventist Health Physicians Network
• Alyssa Amy Aguirre
• Albertsons LLC

• All providers in Moorpark, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.