Active NPI
Cordelia Kpaduwa, NURSE PRACTITIONER P
- Psychiatric/Mental Health Nurse Practitioner
- Eastvale, CA
National Provider Identifier
1568847978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2021209235
- Practice address
- 13622 Dearborn St
Eastvale, CA 92880-5504 - Phone
- (562) 928-8006
- Fax
- (562) 928-8261
- NPI assigned
- Jul 27, 2015
- Last updated
- Jan 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021209235 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 11579 | CA |
Addresses
Primary practice location
13622 Dearborn St
Eastvale, CA 92880-5504
Mailing address
7340 Florence Ave Ste 219
Downey, CA 90240-3672
Phone (562) 928-8006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11579 | CA | MD | Occupational Therapist |
| 2021209235 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Care Home Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Downey, CA
- NPI 1508041831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768694400000",
"number": "1568847978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 FLORENCE AVE STE 219",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902403672",
"telephone_number": "562-928-8006",
"fax_number": "562-928-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13622 DEARBORN ST",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928805504",
"telephone_number": "562-928-8006",
"fax_number": "562-928-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KPADUWA",
"first_name": "CORDELIA",
"credential": "NURSE PRACTITIONER P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "2021209235",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11579",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.