Individual provider Active NPI

Nathalie Anyakpor, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Playa del Rey, CA
National Provider Identifier
1699319103
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012953 Issued in CA
Practice address
322 Culver Blvd # V451
Playa del Rey, CA 90293-7704
Phone
(323) 403-4155
Fax
(323) 786-8913
NPI assigned
Oct 29, 2019
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 Practitioner 363LP0808X 95012953 CA Primary

Addresses

Primary practice location

322 Culver Blvd # V451
Playa del Rey, CA 90293-7704

Mailing address

13409 S Wilkie Ave
Gardena, CA 90249-1540
Phone (310) 710-6612

Other practice location 1

8340 Clairemont Mesa Blvd Ste 200B
San Diego, CA 92111-1320
Phone (877) 840-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95012953CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc CurrentSince Feb 1, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc CurrentSince Feb 1, 2022 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Sep 5, 2023 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 461-4411

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

2791 Agoura Rd
Westlake Village, CA 91361
Phone (800) 523-4042

Organizations & group practices 4

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1699319103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13409 S WILKIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902491540",
            "telephone_number": "310-710-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 CULVER BLVD # V451",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937704",
            "telephone_number": "323-403-4155",
            "fax_number": "323-786-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Clairemont Mesa Blvd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111320",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "fax_number": "619-383-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANYAKPOR",
        "first_name": "NATHALIE",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

Verify at the official NPI Registry.