Individual provider Active NPI

Cordelia Kpaduwa, NURSE PRACTITIONER P

  • Psychiatric/Mental Health Nurse Practitioner
  • Eastvale, CA
National Provider Identifier
1568847978
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021209235 Issued in CA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11579CAMDOccupational Therapist
2021209235CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.