Active NPI
Kristine Mbamalu Nurse Practitioner and Nursing Services Inc
- Nurse Practitioner
- Woodland Hills, CA
National Provider Identifier
1023899481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC
- Practice address
- 21550 Oxnard St FL 3
Woodland Hills, CA 91367-7105 - Phone
- (310) 531-6645
- NPI assigned
- Oct 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Mbamalu
- Title
- Owner
- Phone
- (310) 531-6645
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
21550 Oxnard St FL 3
Woodland Hills, CA 91367-7105
Mailing address
21550 Oxnard St FL 3
Woodland Hills, CA 91367-7105
Phone (310) 531-6645
Other names 1
- DEZAK MENTAL HEALTH PROVIDER
National Provider Directory
National Provider DirectoryLocations
21550 Oxnard St
Fl 3
Woodland Hills, CA 91367
Phone (818) 251-6961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766966400000",
"number": "1023899481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21550 OXNARD ST FL 3",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677105",
"telephone_number": "310-531-6645",
"fax_number": "310-531-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21550 OXNARD ST FL 3",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677105",
"telephone_number": "310-531-6645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-11",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A",
"authorized_official_last_name": "MBAMALU",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-531-6645"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DEZAK MENTAL HEALTH PROVIDER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.