Active NPI
Ugo N Ndubaku, DNP, NP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95004701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004701 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Quality Psychiatric Health and Wellness Apcmc | Family | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Valencia, CA
- NPI 1790369437
Family
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Lancaster, CA
- NPI 1982863783
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.