NOVAXIS LLC (NPI# 1174136899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174136899 |
Entity Type | Organization |
Organization Name | NOVAXIS LLC |
Practice Address |
11117 S Inglewood Ave Ste A Inglewood CA 90304-2514 |
Mailing Address |
4832 Shenandoah Ave Los Angeles CA 90056-1057 |
Practice Telephone | 8446682947 |
Mailing Telephone | 3109366418 |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |
Authorized Official Name | DR. JOY EKWUEME (OWNER) |
Authorized Official Telephone | 3109366418 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | Agencies | ||
N | 251K00000X | Public Health or Welfare | Agencies | ||
N | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities | ||
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 405300000X | Prevention Professional | Other Service Providers | ||
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
11117 S INGLEWOOD AVE STE A |
City | INGLEWOOD |
State | CA |
Zip Code | 90304-2514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285131755 | Spiron Medical Center Inc | Clinic/Center | 11117 S Inglewood Ave Ste A, Inglewood, CA 90304-2514 | 2018-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720639164 | Elizabeth Jett | Technician | 5527 W. 119th Place, Inglewood, CA 90304 | 2019-09-26 |
1376099267 | Makasha Sims | Licensed Vocational Nurse | 4450 W. Century Bld., Inglewood, CA 90304 | 2016-08-30 |
1528309655 | Ma Roxanne Fermin | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2013-03-14 |
1295958353 | Hossein Javid | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304 | 2007-04-10 |
1063952554 | Samantha Michelle Kirzner | Dentist | 4201 W Century Blvd, Inglewood, CA 90304 | 2017-03-02 |
1639557218 | Priority Vision Optometry Inc | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2015-05-14 |
1538436811 | Harmik Torosian | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2011-11-30 |
1114310505 | Kian M Javid | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2015-03-10 |
1104261353 | Javid Brothers | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304-1001 | 2013-05-01 |
1235480963 | South Bay Wellness Center | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2012-09-20 |
Find all providers in zip 90304 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689782013 | Danielle L Davidson-mcbean | Family Medicine | 110 North Labrea Ave, Inglewood, CA 90301-1708 | 2006-08-27 |
1972772655 | Bambi L. Nickelberry, M.d. | Family Medicine | 248 N Locust St, Inglewood, CA 90301-1258 | 2008-02-26 |
1003008103 | H Milano Mellon Md Inc | Family Medicine | 915 Myrtle Ave, Inglewood, CA 90301-4007 | 2007-08-13 |
1336170877 | Marvin White | Family Medicine | 11161 Crenshaw Blvd, Suite 210, Inglewood, CA 90303-2336 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
Find all providers with the same taxonomy |
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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.