Moses Sunny Nzeogu, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ashland, CA
NPI 1548042823 · NPPES record last updated May 5, 2026
Key facts
- NPI
- 1548042823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP95025594 (CA)
- Practice address
- 16110 E 14TH St
Ashland, CA 94578-3002 - Phone
- (510) 471-5880
- NPI assigned
- Oct 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508000408 | CA | Order and Referring Only - Nurse Practitioner | 9133560212 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95025594 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95025594 | CA | Yes |
Addresses
Primary practice location
16110 E 14TH St
Ashland, CA 94578-3002
Mailing address
16110 E 14TH St
Ashland, CA 94578-3002
Phone (510) 471-5880
Other practice location 1
33255 9th St
Union City, CA 94587-2137
Phone (510) 471-5880
Other practice location 2
22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880
Other providers in Ashland, CA
- Nellylisbeth De Jesus Mora Gonzalez
- Desiree Murray
- Fion NG
- Joseph Thanh Nguyen
- Alexander John Nickerson
- Jailine Orduno Damian
- Panai Sharlene Elizabeth Paramore
- Cameron Paulo
- Olga Pinto
- Xuanhong Qiu
All providers in Ashland, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.