Healthcare Provider Details

I. General information

NPI: 1720945033
Provider Name (Legal Business Name): ELIZA HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 W BEECH AVE UNIT 3994
VISALIA CA
93277-4388
US

IV. Provider business mailing address

167 MADISON AVE RM 205
NEW YORK NY
10016-5403
US

V. Phone/Fax

Practice location:
  • Phone: 801-916-5168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIKE AKINJERO
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 559-931-4819