Charmaine Ni

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032021 Issued in CA

Practice address

593 W 6TH St
San Pedro, CA 90731-2521

Phone

(310) 547-0202

NPI assigned

May 29, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• East Valley Community Health Center, Inc.

  dba East Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • West Covina, CA
  • NPI 1831243625
  Medicare reassignment NPD
• East Valley Community Health Center, Inc.

  dba East Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pomona, CA
  • NPI 1649324443
  NPD

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1497648422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BERKENSTOCK CIR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312521",
            "telephone_number": "310-547-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "CHARMAINE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Nguyen, D.D.S.
• Silverton Nguyen, PT
• Son Lam Nguyen, D.C, L.AC
• Tuan Hoang Nguyen, PHARM.D
• Victoria Nguyen, PHARMD
• Nicholas S. Jaksic, DDS, Inc.
• Matthew Nickle
• Nicol Lippman, MD, Inc.
• Vanessa Ann Nicolas, CNM, RN
• Zach Nilsson

• Family Nurse Practitioner in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.

Verify at the official NPI Registry.