Active NPI
Moses Sunny Nzeogu, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Ashland, CA
National Provider Identifier
1548042823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP95025594
- Practice address
- 16110 E 14TH St
Ashland, CA 94578-3002 - Phone
- (510) 471-5880
- NPI assigned
- Oct 20, 2023
- Last updated
- May 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95025594 | CA | Primary |
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508000408 | CA | Order and Referring Only - Nurse Practitioner | 9133560212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95025594 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1548042823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16110 E 14TH ST",
"city": "ASHLAND",
"state": "CA",
"postal_code": "945783002",
"telephone_number": "510-471-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16110 E 14TH ST",
"city": "ASHLAND",
"state": "CA",
"postal_code": "945783002",
"telephone_number": "510-471-5880"
}
],
"practiceLocations": [
{
"address_1": "33255 9th St",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "CA",
"postal_code": "945872137",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22331 Mission Blvd",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945413911",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NZEOGU",
"first_name": "MOSES",
"middle_name": "SUNNY",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-20",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95025594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.