Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandria Rudolph, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1295221125

Alexandria Rudolph, AGACNP is a Nurse Practitioner in Sherman Oaks, California. Qualified in 2018, 8 years ago. Practices with Epic Medical Group, Inc, a 54-clinician group. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811
Phone: (213) 279-1220
Fax: (835) 230-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95009356 (CA)

Record details

NPI number1295221125
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESMay 17, 2026
Certification dateMay 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Epic Medical Group,Inc — 54 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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