Ikechukwu Ugwu, PMHNP-B C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95027323 Issued in CA

Practice address

12440 Firestone Blvd Ste 113
Norwalk, CA 90650-9300

Phone

(562) 239-5910

Fax

(562) 232-4755

NPI assigned

Sep 22, 2023

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sapphire JC Global Nursing IncGroup PAC ID 9032455449, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hillz Mental Health Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwalk, CA
  • NPI 1861280216
  Medicare reassignment NPD Authorized official
• Sapphire JC Global Nursing Inc

  dba Sapphire Psychiatric Medical Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Cerritos, CA
  • NPI 1952884504
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1033998836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 113",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509300",
            "telephone_number": "562-239-5910",
            "fax_number": "562-232-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 113",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509300",
            "telephone_number": "562-239-5910",
            "fax_number": "562-232-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17777 Center Court Dr N Ste 600",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907038575",
            "country_code": "US",
            "telephone_number": "909-521-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGWU",
        "first_name": "IKECHUKWU",
        "name_prefix": "Mr.",
        "credential": "PMHNP-B C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Tucker
• Seluvaia Tuitahi
• Turiya Anesthesia
• Katherine Rose Twohy, PH D
• Precious Ure Ude, RN
• Celeste Guadalupe Ulloa
• Sopaul Kenny Ung, DPT
• Unicare Home Health Care, Inc
• Unique Medical Equipment Co LLC
• United Family Medical Center

• Psychiatric/Mental Health Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.