LARRY U NWAFOR SR. (NPI# 1134697576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134697576 |
| Entity Type | Individual |
| Full Name | LARRY U NWAFOR SR. |
| Credential | NP |
| Practice Address |
11900 Avalon Blvd Los Angeles CA 90061-2866 |
| Mailing Address |
13990 Cerise Ave Hawthorne CA 90250-8118 |
| Practice Telephone | 3237561317 |
| Mailing Telephone | 3104918123 |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
95010124 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95010124 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11900 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90061-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795613 | Jack Azad,m.d.,inc. | General Practice | 11900 Avalon Blvd, #100, Los Angeles, CA 90061-2837 | 2005-07-22 |
| 1699373191 | Roisin Louise Taylor | Marriage & Family Therapist | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-10-15 |
| 1659986032 | Jacqueline Deppisch | Counselor | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-09-11 |
| 1871108258 | Jerrold Smith | Counselor | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-09-11 |
| 1649804972 | Vanessa Martinez Hall | Nurse Practitioner | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-02-25 |
| 1427582832 | Ijeoma Ogbonnia | Nurse Practitioner | 11900 Avalon Blvd, # 100, Los Angeles, CA 90061-2866 | 2017-04-13 |
| 1992257521 | Sherrill Bagley | Counselor | 11900 Avalon Blvd, 200, Los Angeles, CA 90061-2866 | 2016-10-31 |
| 1316182975 | Luis Rabago | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 | 2008-12-11 |
| 1841462264 | Mark Cole | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061-2866 | 2008-03-25 |
| 1841489440 | Jack Azad | General Practice | 11900 Avalon Blvd, #100, Los Angeles, CA 90061-2867 | 2007-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235695974 | Phyllis Kirby Tisdale | Nurse Practitioner | 145 E 124th Street, Los Angeles, CA 90061 | 2019-02-19 |
| 1003160003 | Alicia Vera | Counselor | 245 E 120th Street, Los Angeles, CA 90061 | 2012-10-30 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1124202817 | David Anthony Martinez | Counselor | 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 | 2007-12-18 |
| 1255538690 | Ceed Security Services Inc | Durable Medical Equipment & Medical Supplies | 12815 South Avalon Blvd, Los Angeles, CA 90061 | 2007-06-29 |
| 1134335128 | Parklane Medical Group | Family Medicine | 12900 South Avalon Bl., Los Angeles, CA 90061 | 2007-05-15 |
| 1598892184 | Jose Rodriguez | Counselor | 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 | 2007-02-28 |
| 1619169406 | Emmanuel A Ayodele | General Practice | 11126 S Main St, Los Angeles, CA 90061 | 2007-08-15 |
| 1003033556 | Khashayar Khodadadi Dds Inc | Dentist | 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 | 2007-04-19 |
| Find all providers in zip 90061 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90061 |
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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.