MRS. ALEXIS MIMI DEDE RAHWANJI FNP-C
NPI 1093530354
Nurse Practitioner - Primary Care in Jurupa Valley, CA
About Mrs. Alexis Mimi Dede Rahwanji Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALEXIS MIMI DEDE RAHWANJI FNP-C (NPI 1093530354) is an individual primary care provider in Jurupa Valley, California, licensed in California (NP95032884) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.
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 (PECOS)
Mrs. Alexis Mimi Dede Rahwanji Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92509
RIVERSIDE, CA 92509
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 Alexis Rahwanji's NPI number?
The NPI number for Alexis Rahwanji is 1093530354. It was assigned to this individual provider in the NPPES registry on November 20, 2024.
Where is Alexis Rahwanji located?
Alexis Rahwanji practices at 9415 Mission Blvd, Jurupa Valley, CA 92509. The listed phone number is (833) 865-8263.
What is Alexis Rahwanji's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Alexis Rahwanji enrolled in Medicare?
Yes. Alexis Rahwanji is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alexis Rahwanji was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Mrs. Alexis Mimi Dede Rahwanji, FNP-C · NPI 1093530354
Primary Care physician in Jurupa Valley, California. Individual provider, active in the CMS NPPES registry since November 20, 2024.
## Identity
- **NPI:** 1093530354 (Entity type: Individual)
- **Enumerated:** November 20, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** NP95032884 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9415 MISSION BLVD, Jurupa Valley, CA 92509-2661
- **Phone:** (833) 865-8263
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093530354) · Data from the CMS NPPES public registry.