Individual provider Active NPI

Ngozi Chukwuemeka

  • Family Nurse Practitioner
  • Mission Hills, CA
National Provider Identifier
1194336974
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011724 Issued in CA
Practice address
14776 San Fernando Mission Blvd
Mission Hills, CA 91345-1723
Phone
(818) 310-0157
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011724 CA Primary

Addresses

Primary practice location

14776 San Fernando Mission Blvd
Mission Hills, CA 91345-1723

Mailing address

14776 San Fernando Mission Blvd
Mission Hills, CA 91345-1723
Phone (818) 310-0157

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
I20230116000370 CA Practitioner - Nurse Practitioner 3072984848 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 4, 2022 Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 4, 2022 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Sep 7, 2025 Accepting new patients

Locations

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

15206 Parthenia St
Sepulveda, CA 91343

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1194336974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14776 SAN FERNANDO MISSION BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451723",
            "telephone_number": "818-310-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14776 SAN FERNANDO MISSION BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451723",
            "telephone_number": "818-310-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUEMEKA",
        "first_name": "NGOZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.