Individual provider Active NPI

Eric N Ngugi, FNP-BC

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1467124107
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024190 Issued in CA
Practice address
4082 Whittier Blvd Ste 102
Los Angeles, CA 90023-2559
Phone
(816) 258-0038
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61420994 WA
Nurse Practitioner 363L00000X 95024190 CA Primary

Addresses

Primary practice location

4082 Whittier Blvd Ste 102
Los Angeles, CA 90023-2559

Mailing address

2530 W Empire Ave
Burbank, CA 91504-5004
Phone (816) 258-0038

Other practice location 1

10217 125th Street Ct E
Puyallup, WA 98374-2761
Phone (253) 864-4550

Other practice location 2

1700 Westwood Blvd
Los Angeles, CA 90024-5608
Phone (310) 475-4865

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
I20251001001089 CA Practitioner - Nurse Practitioner 1759729882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1700 Westwood Blvd
Los Angeles, CA 90024-5608

1910 Customer Care Way
Atwater, CA 95301-5167

2530 W Empire Ave
Burbank, CA 91504-5004

PO Box
Suite 47805
Tampa, FL 33646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61420994WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center CurrentSince Oct 13, 2025 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Palliative Care Doctors Group, Inc CurrentSince Sep 2, 2025 Accepting new patients
Golden Valley Health Centers CurrentSince Oct 13, 2025 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 435-1892

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

250 Northgate Dr
Ste 102
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Ste A
Merced, CA 95341
Phone (209) 383-7441

847 W Childs Ave
Ste B
Merced, CA 95341

847 W Childs Ave
Ste C
Merced, CA 95341

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1524 McHenry Ave
Ste 560
Modesto, CA 95350

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1467124107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W EMPIRE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915045004",
            "telephone_number": "816-258-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 WHITTIER BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232559",
            "telephone_number": "816-258-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10217 125th Street Ct E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742761",
            "country_code": "US",
            "telephone_number": "253-864-4550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245608",
            "country_code": "US",
            "telephone_number": "310-475-4865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUGI",
        "first_name": "ERIC",
        "middle_name": "N",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61420994",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.