MS. IMANI WILLIAMS PA-C
NPI 1851427397
Physician Assistant - Surgical in Los Angeles, CA

Active since February 27, 2007PECOS Enrolled
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 668-4515(310) 763-8909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Imani Williams Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IMANI WILLIAMS PA-C (NPI 1851427397) is an individual surgical provider in Los Angeles, California, licensed in California (PA11638) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851427397
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. IMANI WILLIAMSCredential: PA-C
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address4381 Maury AveLong Beach, CA 90807-2536
Fax(310) 763-8909
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1851427397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA11638
12021 WILMINGTON AVE, Los Angeles, CA 90059

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Imani Williams Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059

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 Imani Williams's NPI number?

The NPI number for Imani Williams is 1851427397. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Imani Williams located?

Imani Williams practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 668-4515.

What is Imani Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Imani Williams enrolled in Medicare?

Yes. Imani Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Imani Williams was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.