Individual provider Active NPI

Doris Ekhator Council, NP-C

  • Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1144680653
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95003788 Issued in CA
Practice address
14545 Sherman Cir
Van Nuys, CA 91405-3087
Phone
(818) 901-4854
Fax
(818) 901-8985
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003788 CA
Nurse Practitioner 363L00000X 95003788 CA Primary

Addresses

Primary practice location

14545 Sherman Cir
Van Nuys, CA 91405-3087

Mailing address

21249 Figueroa St Unit 4
Carson, CA 90745-1917
Phone (310) 902-7873

Other practice location 1

21249 Figueroa St Unit 4
Carson, CA 90745-1917
Phone (310) 902-7873

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
I20230201000000 CA Practitioner - Nurse Practitioner 1052652609 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003788CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC CurrentSince Dec 27, 2022 Accepting new patients
Sondermind PC CurrentSince Jun 1, 2025 Accepting new patients
Pacific Coast Psychiatric Associates Inc Past Accepting new patients

Locations

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

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.doriscouncil@143255.advancedmd-direct.com

Organizations & group practices 3

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1144680653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21249 FIGUEROA ST UNIT 4",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451917",
            "telephone_number": "310-902-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 SHERMAN CIR",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053087",
            "telephone_number": "818-901-4854",
            "fax_number": "818-901-8985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21249 Figueroa St Unit 4",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907451917",
            "country_code": "US",
            "telephone_number": "310-902-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNCIL",
        "first_name": "DORIS",
        "middle_name": "EKHATOR",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003788",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.