Individual provider Active NPI

Nnenna Uchechi Chimdi, NP

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1013439405
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011006 Issued in CA
Practice address
38350 40TH St E
Palmdale, CA 93552-3075
Phone
(661) 225-3050
NPI assigned
Jul 7, 2017
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 699794 CA
Nurse Practitioner 363L00000X 95011006 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95011006 CA
Family Nurse Practitioner 363LF0000X 95011006 CA Primary

Addresses

Primary practice location

38350 40TH St E
Palmdale, CA 93552-3075

Mailing address

2201 Tangerine St
Palmdale, CA 93551-6223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314001124 CA Practitioner - Nurse Practitioner 4789058769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meticulous Health Care PCGroup PAC ID 1759757305, 6 clinicians

Practice addresses (Care Compare)

18726 S Western Ave
Suite 320
Gardena, CA 90248-3812
Phone (213) 373-3301

6850 Sepulveda Blvd
Suite 217
Van Nuys, CA 91405-4466
Phone (818) 901-7855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
699794CAMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mendrix Medical Associates Inc Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Meticulous Health Care PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

18726 S Western Ave
Ste 320
Gardena, CA 90248
Phone (213) 373-3301

245 Cherry Ave
Long Beach, CA 90802
Phone (310) 773-8975

8601 Lincoln Blvd
Ste 108567
Los Angeles, CA 90045

1623 Arizona Ave
Santa Monica, CA 90404
Phone (310) 829-4565

6850 Sepulveda Blvd
Ste 217
Van Nuys, CA 91405
Phone (818) 901-7855

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1013439405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 TANGERINE ST",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935516223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38350 40TH ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523075",
            "telephone_number": "661-225-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMDI",
        "first_name": "NNENNA",
        "middle_name": "UCHECHI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "699794",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011006",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.