Individual provider Active NPI

Stella Kemuto Ondieki, FNP

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1659810406
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005813 Issued in CA
Practice address
45124 10TH St W
Lancaster, CA 93534-2310
Phone
(562) 867-7999
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RE2468 GU
Family Nurse Practitioner 363LF0000X NP0185 GU
Family Nurse Practitioner 363LF0000X 95005813 CA Primary

Addresses

Primary practice location

45124 10TH St W
Lancaster, CA 93534-2310

Mailing address

5650 Jillson St
Commerce, CA 90040-1482
Phone (562) 867-7999

Other names 1

  • Stella Nyarangi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170725000935 CA Practitioner - Nurse Practitioner 5294005294 Reassigns benefits to 2 organizations
I20190226003132 GU Practitioner - Nurse Practitioner 5294005294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Conference Corp of SdaGroup PAC ID 6608777628, 52 clinicians

Practice addresses (Care Compare)

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RE2468GUMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
General Conference Corp of Sda CurrentSince Oct 8, 2018 Accepting new patients
JWCH Institute Inc CurrentSince Feb 1, 2024 Accepting new patients
Mission Grove Medical Corporation CurrentSince Dec 27, 2022 Accepting new patients
JWCH Institute Inc Current Accepting new patients
JWCH Institute, Inc. CurrentSince Feb 1, 2024 Accepting new patients
PRN Urgent Care, Inc. PastSince Dec 27, 2022 Accepting new patients

Locations

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

45124 10th St W
Lancaster, CA 93534
Phone (661) 941-9543

954 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 454-4850

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

191 E Alessandro Blvd
Ste 9A
Riverside, CA 92508
Phone (951) 780-3300

Interoperability endpoints

  • Direct secure messaging: stella.ondieki.1@31775.direct.athenahealth.com
  • Direct secure messaging: stella.ondiekinp.p1@direct.jwch.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1659810406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "562-867-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45124 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342310",
            "telephone_number": "562-867-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDIEKI",
        "first_name": "STELLA",
        "middle_name": "KEMUTO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GU",
            "license": "RE2468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP0185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "NYARANGI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.