Individual provider Active NPI

Joan C Njoku

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwalk, CA
National Provider Identifier
1265140222
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022012 Issued in CA
Practice address
14449 Harvest Ave
Norwalk, CA 90650-4710
Phone
(323) 691-8074
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 95022012 CA Primary

Addresses

Primary practice location

14449 Harvest Ave
Norwalk, CA 90650-4710

Mailing address

14449 Harvest Ave
Norwalk, CA 90650-4710
Phone (323) 691-8074

Other practice location 1

1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone (877) 515-8113

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
I20230615001805 CA Practitioner - Nurse Practitioner 3173981610 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022012CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Jun 10, 2023 Accepting new patients
Lindy Lay, D.O., P.C. CurrentSince Oct 31, 2023 Accepting new patients
Eugene Rosenman MD Professional Corporation CurrentSince Jan 2, 2025 Accepting new patients

Locations

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (800) 570-4701

151 Kalmus Dr
Ste K2
Costa Mesa, CA 92626
Phone (657) 300-1706

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

3321 N Buffalo Dr
Ste 200
Las Vegas, NV 89129
Phone (702) 515-1373

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1265140222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14449 HARVEST AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504710",
            "telephone_number": "323-691-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14449 HARVEST AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504710",
            "telephone_number": "323-691-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W 190th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902484305",
            "country_code": "US",
            "telephone_number": "877-515-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJOKU",
        "first_name": "JOAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.