Active NPI
Integrated Health Care Services
- Family Nurse Practitioner
- Torrance, CA
National Provider Identifier
1114774262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- INTEGRATED HEALTH CARE SERVICES
- Practice address
- 3535 Torrance Blvd Ste 13
Torrance, CA 90503-4815 - Phone
- (310) 817-5581
- NPI assigned
- May 6, 2024
- Organization subpart
- Yes
- Parent organization
- LIFELINE WALK IN MEDICAL AND MENTAL HEALTH CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anulika Chilaka
- Title
- Family Nurse Practitioner
- Phone
- (310) 686-2347
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3535 Torrance Blvd Ste 13
Torrance, CA 90503-4815
Mailing address
3535 Torrance Blvd Ste 13
Torrance, CA 90503-4815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679140644 | Other | CA | SAMUEL CHILAKA PMHNP |
Other names 1
- LifeLine Walk In Medical and Mental Health Clinic
National Provider Directory
National Provider Directory- Part of
- Integrated Health Care SVCS
Locations
3535 Torrance Blvd
Ste 13
Torrance, CA 90503
Phone (310) 736-2517
Interoperability endpoints
- https://api.platform.athenahealth.com/24072/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Anaheim, CA
- NPI 1073073649
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Torrance, CA
- NPI 1972469609
-
- Marriage & Family Therapist
- Torrance, CA
- NPI 1073169512
-
- Family Medicine Physician
- Anderson, IN
- NPI 1043453228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1114774262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 TORRANCE BLVD STE 13",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 TORRANCE BLVD STE 13",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034815",
"telephone_number": "310-817-5581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTH CARE SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFELINE WALK IN MEDICAL AND MENTAL HEALTH CLINIC",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-05",
"status": "A",
"authorized_official_last_name": "CHILAKA",
"authorized_official_first_name": "ANULIKA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "310-686-2347",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAMUEL CHILAKA PMHNP",
"identifier": "1679140644",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeLine Walk In Medical and Mental Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.