Individual provider Active NPI

Rehema Nakkungu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canoga Park, CA
National Provider Identifier
1629992003
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95036039 Issued in CA
Practice address
8260 Owensmouth Ave Apt 22
Canoga Park, CA 91304-4176
Phone
(818) 564-0325
NPI assigned
Aug 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X NP95036039 CA Primary

Addresses

Primary practice location

8260 Owensmouth Ave Apt 22
Canoga Park, CA 91304-4176

Mailing address

8260 Owensmouth Ave Apt 22
Canoga Park, CA 91304-4176
Phone (818) 564-0325

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": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1629992003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 OWENSMOUTH AVE APT 22",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044176",
            "telephone_number": "818-564-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 OWENSMOUTH AVE APT 22",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044176",
            "telephone_number": "818-564-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKKUNGU",
        "first_name": "REHEMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95036039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.