Individual provider Active NPI

Kimberly A Ladzekpo, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1386456325
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033512 Issued in CA
Practice address
320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone
(818) 654-3887
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 326053 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1115000 TX
Family Nurse Practitioner 363LF0000X 95033512 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 326053 AZ
Family Nurse Practitioner 363LF0000X 1115000 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033512 CA

Addresses

Primary practice location

320 E Palmdale Blvd
Palmdale, CA 93550-4598

Mailing address

9100 N Central Ave Ste C
Phoenix, AZ 85020-2430
Phone (818) 873-9984

Other practice location 1

9100 N Central Ave Ste C
Phoenix, AZ 85020-2430
Phone (818) 873-9984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250603003709 CA Practitioner - Nurse Practitioner 0941719686 Reassigns benefits to 3 organizations
I20251026000337 TX Practitioner - Nurse Practitioner 0941719686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyman Younesi MD Professional CorporationGroup PAC ID 9032640164, 8 clinicians

Practice addresses (Care Compare)

20801 Devonshire St
Chatsworth, CA 91311-3216
Phone (818) 341-2552

Hospital & facility affiliations

  • Healthview Home Health, LLC Home health agency, Cerritos, CA, CCN 557727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326053AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Jun 16, 2025 Accepting new patients
Regional Physician Services of Texas, P.a. CurrentSince Oct 1, 2025 Accepting new patients
Peyman Younesi MD Professional Corporation CurrentSince Nov 1, 2025 Accepting new patients

Locations

20801 Devonshire St
Chatsworth, CA 91311
Phone (818) 230-3087

587 Rio Lindo Ave
Chico, CA 95926
Phone (530) 345-1306

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1386456325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 N CENTRAL AVE STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202430",
            "telephone_number": "818-873-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504598",
            "telephone_number": "818-654-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 N Central Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202430",
            "country_code": "US",
            "telephone_number": "818-873-9984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADZEKPO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "326053",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1115000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033512",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "326053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1115000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.