Organization Active NPI

Kristine Mbamalu Nurse Practitioner and Nursing Services Inc

  • Nurse Practitioner
  • Woodland Hills, CA
National Provider Identifier
1023899481
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Dec 29, 2025

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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.