Active NPI
Angelia Ardalan, PA-C
- Physician Assistant
- Culver City, CA
National Provider Identifier
1972087906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55717
- Practice address
- 3831 Hughes Ave Ste 601
Culver City, CA 90232-6844 - Phone
- (310) 204-0223
- NPI assigned
- Sep 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 55717 | CA | Primary |
Addresses
Primary practice location
3831 Hughes Ave Ste 601
Culver City, CA 90232-6844
Mailing address
3831 Hughes Ave Ste 601
Culver City, CA 90232-6844
Phone (310) 204-0223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55717 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- angelia.nucepa.p1@direct.ccchcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1972087906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE STE 601",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326844",
"telephone_number": "310-204-0223",
"fax_number": "310-425-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE STE 601",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326844",
"telephone_number": "310-204-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDALAN",
"first_name": "ANGELIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-15",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "55717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.