ANTHONY ANUBALU (NPI# 1487040622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487040622 |
| Entity Type | Individual |
| Full Name | ANTHONY ANUBALU |
| Credential | F.N.P |
| Practice Address |
13320 Doty Ave Apt 280 Hawthorne CA 90250-6265 |
| Practice Telephone | 3104692110 |
| Mailing Telephone | 3104692110 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPF95002117 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13320 DOTY AVE APT 280 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-6265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1093359192 | Amanda L Stowell | Nurse Practitioner | 4866 W 137th St, Hawthorne, CA 90250-6525 | 2019-10-31 |
| 1467008441 | Elizabeth Temitope Oluwole | Nurse Practitioner | 11823 Chanera Ave, Hawthorne, CA 90250-1825 | 2019-08-14 |
| 1063079234 | Jimmy Cruza | Nurse Practitioner | 2 S Maine Ave Bldg 102-54, Hawthorne, NV 89415-9404 | 2019-05-23 |
| 1033689344 | Gillian Louissaint | Nurse Practitioner | 112 Willow St, Hawthorne, FL 32640-5413 | 2018-11-29 |
| 1164936746 | Harmony Day Payzant | Nurse Practitioner | 13753 Cordary Ave, Hawthorne, CA 90250-7410 | 2017-11-19 |
| 1376056630 | Abiola Orkeh | Nurse Practitioner | 11725 Daleside Ave, Hawthorne, CA 90250-1924 | 2017-11-09 |
| 1548708852 | Christina Sauro | Nurse Practitioner | 7 N 16th St, Hawthorne, NJ 07506-3709 | 2017-02-07 |
| 1497202337 | Francesca Mephors | Nurse Practitioner | 13936 Lemoli Ave, Hawthorne, CA 90250-8854 | 2016-09-08 |
| 1881053593 | Ifeoma Stella Nweke | Nurse Practitioner | 11830 Acacia Ave Apt 1, Hawthorne, CA 90250-3000 | 2016-02-23 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.