Individual provider Active NPI

Nkechi Perkins

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1134617939
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20222001010 Issued in CA
Practice address
510 S Vermont Ave FL 17
Los Angeles, CA 90020-1912
Phone
(213) 351-7284
NPI assigned
Apr 26, 2018
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 20222001010 CA Primary
Primary Care Nurse Practitioner 363LP2300X F03180717 CA

Addresses

Primary practice location

510 S Vermont Ave FL 17
Los Angeles, CA 90020-1912

Mailing address

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 599-2959

Other practice location 1

808 W 58th St
Los Angeles, CA 90037-3632
Phone (323) 599-2959

Other identifiers 1

IdentifierTypeStateIssuer
F031807017MedicaidCA

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
I20221018001407 CA Practitioner - Nurse Practitioner 7416323308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

510 S Vermont Ave
FL 22
Los Angeles, CA 90020-1912
Phone (213) 738-2877

6818 Avalon Blvd
Los Angeles, CA 90003-1922
Phone (323) 541-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20222001010CAMDPsychiatric/Mental Health Nurse Practitioner
F03180717CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Sep 1, 2022 Accepting new patients
St. Johns Community Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Mar 19, 2023 Accepting new patients
St. Johns Community Health CurrentSince Sep 1, 2022 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jul 8, 2023 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jul 8, 2023 Accepting new patients

Locations

17707 Studebaker Rd
#150
Cerritos, CA 90703
Phone (310) 402-0688

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

510 S Vermont Ave
Fl 17
Los Angeles, CA 90020
Phone (213) 332-1097

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

510 S Vermont Ave
Fl 22
Los Angeles, CA 90020
Phone (213) 738-2877

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

6818 Avalon Blvd
Los Angeles, CA 90003

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1134617939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-599-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S VERMONT AVE FL 17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201912",
            "telephone_number": "213-351-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 W 58th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900373632",
            "country_code": "US",
            "telephone_number": "323-599-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "NKECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "20222001010",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "F03180717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F031807017",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.