Individual provider Active NPI

Amaka Chukwuma

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1104372515
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004805 Issued in CA
Practice address
241 N Figueroa St Ste 126
Los Angeles, CA 90012-2601
Phone
(213) 246-7770
Fax
(213) 240-8634
NPI assigned
Aug 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004805 CA Primary

Addresses

Primary practice location

241 N Figueroa St Ste 126
Los Angeles, CA 90012-2601

Mailing address

21402 S Perry St
Carson, CA 90745-1609
Phone (310) 462-4602

Other practice location 1

21402 S Perry St
Carson, CA 90745-1609
Phone (310) 462-4602

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
I20200811003360 CA Practitioner - Nurse Practitioner 6406272244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

335 E Ave
K6 Suite B
Lancaster, CA 93535-4645
Phone (661) 723-4526

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health CurrentSince Nov 14, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince May 8, 2020 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jan 27, 2026 Accepting new patients
County of Los Angeles CurrentSince May 8, 2020 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

11833 Wilmington Ave
Los Angeles, CA 90059
Phone (323) 568-8100

3834 S Western Ave
Los Angeles, CA 90062
Phone (323) 730-1920

241 N Figueroa St
Ste 126
Los Angeles, CA 90012
Phone (213) 246-7770

Organizations & group practices 5

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": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1104372515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21402 S PERRY ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451609",
            "telephone_number": "310-462-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N FIGUEROA ST STE 126",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122601",
            "telephone_number": "213-246-7770",
            "fax_number": "213-240-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21402 S Perry St",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907451609",
            "country_code": "US",
            "telephone_number": "310-462-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUMA",
        "first_name": "AMAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.