Individual provider Active NPI

Mankaa Helen Fokwa, F.N.P.

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1588045256
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000782 Issued in CA
Practice address
540 W Palmdale Blvd # B
Palmdale, CA 93551-4232
Phone
(661) 947-5600
Fax
(661) 947-5900
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000782 CA Primary

Addresses

Primary practice location

540 W Palmdale Blvd # B
Palmdale, CA 93551-4232

Mailing address

42542 Cinnabar CT
Lancaster, CA 93536-4406
Phone (323) 327-6713

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

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1588045256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42542 CINNABAR CT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364406",
            "telephone_number": "323-327-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W PALMDALE BLVD # B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514232",
            "telephone_number": "661-947-5600",
            "fax_number": "661-947-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOKWA",
        "first_name": "MANKAA",
        "middle_name": "HELEN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.