Active NPI
Amaka Lauretta Anyaoha, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 23402
- Practice address
- 2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749 - Phone
- (323) 628-8671
- NPI assigned
- Apr 24, 2007
- Last updated
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN 606596 | CA | |
| Family Nurse Practitioner | 363LF0000X | 23402 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 23402 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Mailing address
23425 Crenshaw Blvd #201
Torrance, CA 90505
Phone (310) 562-0166
Other practice location 1
23035 frigate Ave
Carson, CA 90745
Phone (310) 562-0166
Other names 1
- Dr. Amaka L Anyaoha
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Kilroy Airport Way
Suite 270
Long Beach, CA 90806-2497
Phone (949) 366-1053
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 606596 | CA | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housecall Doctors Medical Group Inc | Current | Accepting new patients | |
| Grow Healthcare Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Intellix Health & Nursing Care Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053
Interoperability endpoints
- aanyaoha@landmarkhealth-direct.org
- amaka.anyaoha.1@33925.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Psychiatric/Mental Health
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Psychiatric/Mental Health Nurse Practitioner
- Norwalk, CA
- NPI 1417707027
Addiction (Substance Use Disorder)
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba LAC Rancho Los Amigos National Rehabilitation Center
- General Acute Care Hospital
- Downey, CA
- NPI 1336154020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1043439813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23425 CRENSHAW BLVD #201",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90505",
"telephone_number": "310-562-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ROSECRANS AVE # 3230",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454749",
"telephone_number": "323-628-8671"
}
],
"practiceLocations": [
{
"address_1": "23035 frigate Ave",
"address_purpose": "LOCATION",
"city": "Carson",
"state": "CA",
"postal_code": "90745",
"country_code": "US",
"telephone_number": "310-562-0166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANYAOHA",
"first_name": "AMAKA",
"middle_name": "LAURETTA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2024-02-13",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RN 606596",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23402",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "23402",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMAKA",
"last_name": "ANYAOHA",
"middle_name": "L",
"prefix": "DR.",
"credential": "DNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.