Individual provider Active NPI

Chika Maduakor

  • Psychiatric/Mental Health Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1396525556
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95027495 Issued in CA
Practice address
2029 Century Park E Ste 400
Los Angeles, CA 90067-2905
Phone
(415) 671-2165
NPI assigned
Oct 4, 2023
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95027495 CA Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 95027495 CA

Addresses

Primary practice location

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905

Mailing address

3491 Wrenwood Ave
Clovis, CA 93619-8980
Phone (323) 479-8967

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
I20240708001590 CA Practitioner - Nurse Practitioner 3870037468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akalaka Nursing Care Group IncGroup PAC ID 8527473537, 4 clinicians

Practice addresses (Care Compare)

2917 W Vernon Ave
Los Angeles, CA 90008-4714
Phone (323) 426-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027495CAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Akalaka Nursing Care Group Inc CurrentSince May 1, 2024 Accepting new patients

Locations

2917 W Vernon Ave
Los Angeles, CA 90008
Phone (323) 426-5200

2917 W Vernon Ave
Ste B
Los Angeles, CA 90008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1396525556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 WRENWOOD AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198980",
            "telephone_number": "323-479-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK E STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672905",
            "telephone_number": "415-671-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUAKOR",
        "first_name": "CHIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027495",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95027495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.