Victoria Ndubaku

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP20447 Issued in CA

Practice address

9808 Venice Blvd
700
Culver City, CA 90232-2732

Phone

(310) 945-3350

Fax

(310) 945-3356

NPI assigned

Sep 6, 2013

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: victoria.ndubaku.p1@direct.caremorewest.nextgenshare.com

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.

• Healthy Mind Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Palos Verdes, CA
  • NPI 1447010723
  Medicare reassignment NPD Authorized official
• Culver City Psychological Associates, Inc.

  • Clinical Psychologist
  • Culver City, CA
  • NPI 1689684607
  NPD (past)

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1194150383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 VERDE RIDGE RD",
            "address_2": "700",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754648",
            "telephone_number": "310-702-7144",
            "fax_number": "310-280-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "700",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-945-3350",
            "fax_number": "310-945-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUBAKU",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP20447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscila Navarro, MS
• Laura Navedo, BCBA
• Jaunty Navi
• Joey Nawa
• Emerentia Ndafu
• Michelle M. Neal
• Stephanie R Nebo, RN
• Gregory Nee
• Barbara Elisabeth Neefs
• Bradley Charles Neiman

• Psychiatric/Mental Health Nurse Practitioner in Culver City, CA
• Providers in Culver City, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.