Individual provider Active NPI

Chinyelu Ude

  • Psychiatric/Mental Health Nurse Practitioner
  • Corona, CA
National Provider Identifier
1144937665
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022063008 Issued in CA
Practice address
103-418 387 Magnolia Ave 9092787
Corona, CA 92879
Phone
(909) 278-7554
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022063008 CA Primary

Addresses

Primary practice location

103-418 387 Magnolia Ave 9092787
Corona, CA 92879

Mailing address

103-418 387 Magnolia Ave 9092787
Corona, CA 92879
Phone (909) 278-7554

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
I20260612000394 CA Practitioner - Nurse Practitioner 4587136379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1021 S Garfield Ave
Alhambra, CA 91801-4710

9126 Valley Blvd
Suite B
Rosemead, CA 91770-1987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022063008CAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1144937665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103-418 387 MAGNOLIA AVE 9092787",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "909-278-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103-418 387 MAGNOLIA AVE 9092787",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "909-278-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDE",
        "first_name": "CHINYELU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2022063008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.