Provider Demographics
NPI:1558392167
Name:ADAMS, JAMES F (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:ADAMS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5702 KAUFFMAN AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2505
Mailing Address - Country:US
Mailing Address - Phone:949-677-6967
Mailing Address - Fax:
Practice Address - Street 1:12675 LA MIRADA BLVD
Practice Address - Street 2:419
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-2200
Practice Address - Country:US
Practice Address - Phone:562-906-8832
Practice Address - Fax:562-906-8832
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA177539364SP0809X
MT177539363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult