IVORY ADANZA
NPI 1053702159
Nurse Practitioner - Occupational Health in Stockton, CA
About Ivory Adanza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVORY ADANZA (NPI 1053702159) is an individual occupational health provider in Stockton, California, licensed in California (95001966) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ivory Adanza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ivory Adanza's NPI number?
The NPI number for Ivory Adanza is 1053702159. It was assigned to this individual provider in the NPPES registry on February 10, 2015.
Where is Ivory Adanza located?
Ivory Adanza practices at 1801 E March Ln Ste D480, Stockton, CA 95210. The listed phone number is (209) 954-3200.
What is Ivory Adanza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.
Is Ivory Adanza enrolled in Medicare?
Yes. Ivory Adanza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Ivory Adanza was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ivory Adanza · NPI 1053702159
Occupational Health physician in Stockton, California. Individual provider, active in the CMS NPPES registry since February 10, 2015.
## Identity
- **NPI:** 1053702159 (Entity type: Individual)
- **Enumerated:** February 10, 2015
- **Primary specialty:** Nurse Practitioner - Occupational Health · taxonomy 363LX0106X
- **State license:** 95001966 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 E MARCH LN STE D480, Stockton, CA 95210-6681
- **Phone:** (209) 954-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 10, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1053702159) · Data from the CMS NPPES public registry.