Whitehead Family Wellness Clinic
NPI 1053179911ActiveOrganization· Nurse Practitioner, Primary Care· Los Angeles, CA
Nurse Practitioner, Primary Care in Los Angeles, California, registered in NPPES in March 2024. The authorized official on file is Aurelia Whitehead, FNP, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053179911 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2024 |
| Last updated in NPPES | Mar 6, 2024 |
| Certified by provider | Mar 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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