Individual provider Active NPI

Amaka Lauretta Anyaoha, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • El Segundo, CA
National Provider Identifier
1043439813
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23402 Issued in CA
Practice address
2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone
(323) 628-8671
NPI assigned
Apr 24, 2007
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
I20140804001845 CA Practitioner - Nurse Practitioner 8729205463 Reassigns benefits to 3 organizations

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
Housecall Doctors Medical Group IncGroup PAC ID 6103802855, 12 clinicians

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

LicenseStateTypeSpecialty
RN 606596CAMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Jul 31, 2024 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Feb 6, 2026 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 CurrentSince Jun 16, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 16, 2014 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

  • Direct secure messaging: aanyaoha@landmarkhealth-direct.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.