Chiemele Kelechi Warderh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013409 Issued in CA

Practice address

1826 E 215TH PL
Carson, CA 90745-1813

Phone

(213) 550-7373

NPI assigned

Apr 25, 2021

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Multi-Specialty

  Medicare reassignment NPD
• Molina Healthcare of California

  dba Molina Medical Centers

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760

  Multi-Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169

  Multi-Specialty

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1063094449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 E 215TH PL",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451813",
            "telephone_number": "213-550-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 E 215TH PL",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451813",
            "telephone_number": "213-550-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDERH",
        "first_name": "CHIEMELE",
        "middle_name": "KELECHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Rena Waller
• Walmart Inc. (Walmart Pharmacy 10-5602)
• Walter Jefferson, D.D.S., Inc. (The Dental Office of Carson)
• Carlen Huey Walters, NBC-HWC, MBA
• Abby Wang
• Linda Marie Washington-Rowles
• Autumn Sholvhon Washington-Sandford
• Alexis Tarae Washington, LVN / NHA
• Greg Washington
• Latoya Washington

• Family Nurse Practitioner in Carson, CA
• Providers in Carson, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.