Individual provider Active NPI

Victor Morrison Wangathika, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1548981376
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
259238 Issued in AZ
Practice address
482 E Angel Dr
Chandler, AZ 85249-5707
Phone
(480) 825-5107
NPI assigned
Sep 9, 2022
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 Nurse Practitioner 363LP0808X 259238 AZ Primary

Addresses

Primary practice location

482 E Angel Dr
Chandler, AZ 85249-5707

Mailing address

482 E Angel Dr
Chandler, AZ 85249-5707
Phone (480) 825-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250718001124 AZ Practitioner - Nurse Practitioner 1557877479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

482 E Angel Dr
Chandler, AZ 85249-5707

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Associates, PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

1915 E Chandler Blvd
Ste 1
Chandler, AZ 85225
Phone (408) 306-5151

20928 N John Wayne Pkwy
Ste C4
Maricopa, AZ 85139
Phone (480) 306-5151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548981376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 E ANGEL DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495707",
            "telephone_number": "480-825-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 E ANGEL DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495707",
            "telephone_number": "480-825-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGATHIKA",
        "first_name": "VICTOR",
        "middle_name": "MORRISON",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "259238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.