DR. CHRYSTANYA A ADENIJI (NPI# 1760969562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760969562 |
Entity Type | Individual |
Full Name | DR. CHRYSTANYA A ADENIJI |
Credential | DNP, PMHNP-BC |
Practice Address |
514 N California Ave Ste 18 Beaumont CA 92223-2120 |
Mailing Address |
1368 Oak St Redlands CA 92373-6868 |
Practice Telephone | 9517697733 |
Mailing Telephone | 9168444214 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2019-06-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95009539 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NURSE PRACTITIONER LICENSE/FURNISHING | 95009539 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4960 Arlington Ave Ste B, Riverside, CA 92504 | 9513418930 | 9513418932 |
514 N California Ave Ste 18, Beaumont, CA 922232120 | 9517697733 |
Street Address |
514 N CALIFORNIA AVE STE 18 |
City | BEAUMONT |
State | CA |
Zip Code | 92223-2120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003479643 | Living Hope Wellness Group, Inc | Counselor | 514 N California Ave Ste 18, Beaumont, CA 92223-2120 | 2019-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
Find all providers in zip 92223 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295238632 | Melissa Lyn Tortorice | Nurse Practitioner | 3560 Delaware St Ste 502, Beaumont, TX 77706-3061 | 2018-03-12 |
1427334374 | Jt Seaman | Nurse Practitioner | 7090 Prutzman Rd, # 22, Beaumont, TX 77706-5823 | 2011-10-24 |
1548889116 | Bridgett Fisk | Nurse Practitioner | 3560 Delaware St Ste 207, Beaumont, TX 77706-3059 | 2020-04-13 |
1972934313 | Kelly Sparkman | Nurse Practitioner | 2750 S 8th St, Beaumont, TX 77701-7719 | 2013-12-11 |
1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. CHRYSTANYA A ADENIJI.
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.