Individual provider Active NPI

Michael C Ekeagwu, RN

  • Psychiatric/Mental Health Registered Nurse
  • Carson, CA
National Provider Identifier
1447163316
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95378407 Issued in CA
Practice address
1823 E 215TH St
Carson, CA 90745-1815
Phone
(562) 630-8672
NPI assigned
Sep 23, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 Registered Nurse 163WP0808X 95378407 CA Primary

Addresses

Primary practice location

1823 E 215TH St
Carson, CA 90745-1815

Mailing address

1823 E 215TH St
Carson, CA 90745-1815
Phone (562) 630-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1447163316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E 215TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451815",
            "telephone_number": "562-630-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 E 215TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451815",
            "telephone_number": "562-630-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEAGWU",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95378407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.