Individual provider Active NPI

Ugo N Ndubaku, DNP, NP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1073060711
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95004701 Issued in CA
Practice address
27240 Turnberry LN Ste 200
Valencia, CA 91355-1045
Phone
(661) 289-6992
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95004701 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95004701 CA Primary

Addresses

Primary practice location

27240 Turnberry LN Ste 200
Valencia, CA 91355-1045

Mailing address

27240 Turnberry LN Ste 200
Valencia, CA 91355-1045
Phone (661) 289-6992

Other practice location 1

3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-8918

Other practice location 2

626 W Lancaster Blvd # 85
Lancaster, CA 93534-3108
Phone (424) 259-6000

Other practice location 3

4441 E Kings Canyon Rd
Fresno, CA 93750-1045
Phone (559) 600-9180

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
I20191227000958 CA Practitioner - Nurse Practitioner 9436583499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004701CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Quality Psychiatric Health and Wellness Apcmc Family CurrentSince Apr 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 14, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 14, 2019 Accepting new patients

Locations

626 W Lancaster Blvd
Lancaster, CA 93534
Phone (661) 220-9977

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

27201 Tourney Rd
Valencia, CA 91355
Phone (661) 222-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1073060711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27240 TURNBERRY LN STE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551045",
            "telephone_number": "661-289-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27240 TURNBERRY LN STE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551045",
            "telephone_number": "661-289-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 W Lancaster Blvd # 85",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343108",
            "country_code": "US",
            "telephone_number": "424-259-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937501045",
            "country_code": "US",
            "telephone_number": "559-600-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUBAKU",
        "first_name": "UGO",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004701",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.