Individual provider Active NPI

Nnamdi Ofoeze, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1073151916
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95013416 Issued in CA
Practice address
801 FM 1463 Rd # 200-257
Katy, TX 77494-7924
Phone
(281) 562-9553
NPI assigned
Dec 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1072787 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013416 CA Primary

Addresses

Primary practice location

801 FM 1463 Rd # 200-257
Katy, TX 77494-7924

Mailing address

23607 Batesville CT
Katy, TX 77493-4176
Phone (562) 256-4810

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Hawthorne
Other URL Gardena Health Information Exchange (HIE)
Other URL Katy Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, MO, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200305001909 CA Practitioner - Nurse Practitioner 8224465174 Reassigns benefits to 4 organizations
Practice locations: Los Angeles, CA
I20240607001967 TX Practitioner - Nurse Practitioner 8224465174 Reassigns benefits to 2 organizations
I20260224000599 MO Practitioner - Nurse Practitioner 8224465174 Reassigns benefits to 1 organization
I20260326002801 GA Practitioner - Nurse Practitioner 8224465174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hisham Soliman MD IncGroup PAC ID 9436282191, 49 clinicians

Practice addresses (Care Compare)

510 Plaza Dr
Suite 170
Folsom, CA 95630-4790
Phone (916) 351-9400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pantea Farhadi MD a Medical Corporation CurrentSince Jan 18, 2020 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 6, 2024 Accepting new patients
Hisham Soliman MD Inc CurrentSince May 17, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Apr 17, 2023 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Aug 2, 2024 Accepting new patients
Neuropsychology Consultants, Inc CurrentSince Jan 18, 2020 Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 Accepting new patients
H Soliman Medical Corporation Psychiatric/Mental Health Past Accepting new patients

Locations (25 of 35)

1101 Maidu Dr
Auburn, CA 95603
Phone (877) 272-5818

5441 Aldrin Ct
Ste A
Bakersfield, CA 93313

2062 Talbert Dr
Ste 100
Chico, CA 95928
Phone (530) 431-8074

1245 W 6th St
Corona, CA 92882

2345 Fletcher Pkwy
#170
El Cajon, CA 92020

9381 E Stockton Blvd
Ste 220
Elk Grove, CA 95624
Phone (916) 667-8520

15720 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 515-8097

622 Jackson St
Unit 103
Fairfield, CA 94533

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

44240 Fremont Blvd
Fremont, CA 94538

4025 N Fresno St
Fresno, CA 93726

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

2955 Main St
Ste 110
Irvine, CA 92614

8635 W 3rd St
Ste 1065W
Los Angeles, CA 90048
Phone (310) 360-0331

509 13th St
Ste 8
Modesto, CA 95354

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

7177 Brockton Ave
Ste 444A
Riverside, CA 92506

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

2386 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 565-1989

225 W Hospitality Ln
Ste 201P
San Bernardino, CA 92408

3200 4th Ave
Ste 200
San Diego, CA 92103
Phone (858) 283-2391

550 Bryant St
San Francisco, CA 94107

1040 Park Ave
Ste 200
San Jose, CA 95126

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

523 4th St
Ste 216
San Rafael, CA 94901

Interoperability endpoints

  • Direct secure messaging: advancedpsychiatryassociates.nnamdiferdinandofoeze@157293.advancedmd-direct.com

Organizations & group practices 9

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1073151916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23607 BATESVILLE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934176",
            "telephone_number": "562-256-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 FM 1463 RD # 200-257",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947924",
            "telephone_number": "281-562-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOEZE",
        "first_name": "NNAMDI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1072787",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hawthorne",
            "affiliation": "N",
            "address_1": "11628 York Ave Apt 5",
            "city": "Hawthorne",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902502604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gardena",
            "affiliation": "N",
            "endpointDescription": "1225 W 190th Street STE 280",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Telehealth",
            "address_1": "1225 W 190th St Ste 280",
            "city": "Gardena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Telehealth",
            "address_1": "801 Fm 1463 Rd # 200-257",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774947924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.