Active NPI
Lynda Nkechi Aduba, NP
- Psychiatric/Mental Health Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95005833
- Practice address
- 200 Oceangate Ste 100
Long Beach, CA 90802-4317 - Phone
- (888) 562-5442
- Fax
- (562) 499-6171
- NPI assigned
- Jan 23, 2017
- Last updated
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005833 | CA | |
| Family Nurse Practitioner | 363LF0000X | 712998 | CA | |
| Nurse Practitioner | 363L00000X | 95005833 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61270915 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209025150 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95005833 | CA | Primary |
Addresses
Primary practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA, IL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 712998 | CA | MD | Family Nurse Practitioner |
| 209025150 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Care | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Joseph M Molina MD Professional Corporation-Southern California | Past | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
2001 Butterfield Rd
Ste 750
Downers Grove, IL 60515
Phone (630) 381-1757
1520 Kensington Rd
Ste 212
Oak Brook, IL 60523
Phone (855) 687-7861
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
Interoperability endpoints
- laduba8794@direct-prd.molinahealthcare.com
Organizations & group practices 8
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.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
dba Molina Medical Centers
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
-
- Health Maintenance Organization
- Downers Grove, IL
- NPI 1912538448
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
-
- Family Medicine Physician
- Wilmington, CA
- NPI 1982976692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1407393903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "562-499-6191",
"fax_number": "562-499-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "888-562-5442",
"fax_number": "562-499-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADUBA",
"first_name": "LYNDA",
"middle_name": "NKECHI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95005833",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "712998",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95005833",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61270915",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209025150",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95005833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Camille Q. Adli, DDS
- Nikoo Adloo
- Sharon Santiago Adofina
- Adoracion a Reyes MD
- Misty Lee Adriaanse, C.P.M., L.M.
- Adult & Child Neurology Medical Associates Inc.
- Advance Care Specialist
- Advanced Community Medical Care Corp
- Advanced Foot and Ankle Center Inc
- Advanced Foot and Ankle Center Inc (advanced foot and ankle center inc pedram aslmand)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.