Individual provider Active NPI

Ameachi Linda Ajakwe, FNP-BC

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1992249189
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95005037 Issued in CA
Practice address
4818 Ledge Ave
North Hollywood, CA 91601-4828
Phone
(310) 384-5612
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 NPF95005037 CA Primary

Addresses

Primary practice location

4818 Ledge Ave
North Hollywood, CA 91601-4828

Mailing address

4818 Ledge Ave
North Hollywood, CA 91601-4828
Phone (310) 384-5612

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
I20230313001123 CA Practitioner - Nurse Practitioner 6800260928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95005037CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tejas Patel, MD a Medical Corporation CurrentSince Dec 7, 2022 Accepting new patients

Locations

4400 W Riverside Dr
Ste 110167
Burbank, CA 91505

2701 W Alameda Ave
Ste 607
Burbank, CA 91505
Phone (818) 842-1410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7103/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1992249189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 LEDGE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014828",
            "telephone_number": "310-384-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 LEDGE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014828",
            "telephone_number": "310-384-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAKWE",
        "first_name": "AMEACHI",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95005037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.