Prime is a
Nurse Practitioner - Family based in Woodland Hills, California. Prime is licensed to practice in California (license number 95002122) and their current practice location is
20929 Ventura Blvd Ste 25, Woodland Hills, California. It can be reached at their office (for appointments etc.) via phone at
(818) 522-7113.
NPI number for Prime is 1336663483 and their current mailing address is 22208 Gilmore St, Woodland Hills, California. Prime
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1336663483.
Healthcare Provider's Profile
Full Name | Prime |
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Type | Facility |
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Speciality | Nurse Practitioner - Family |
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Location | 20929 Ventura Blvd Ste 25, Woodland Hills, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336663483
- Provider Enumeration Date: 07/31/2017
- Last Update Date: 07/31/2017
Medical Identifiers
Medical identifiers for Prime such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336663483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC22853 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95002122 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prime is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Prime 22208 Gilmore St, Woodland Hills, CA 91303-2508 Ph: () - | Prime 20929 Ventura Blvd Ste 25, Woodland Hills, CA 91364-3353 Ph: (818) 522-7113 |
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