Individual provider Active NPI

Chidum Ekpe

  • Student in an Organized Health Care Education/Training Program
  • Palmdale, CA
National Provider Identifier
1699409474
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
39115 Trade Center Dr Ste 203
Palmdale, CA 93551-3649
Phone
(661) 223-3880
NPI assigned
Jul 15, 2022
Reactivated
Oct 1, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health CurrentSince Nov 8, 2025 Accepting new patients

Locations

39115 Trade Center Dr
Ste 203
Palmdale, CA 93551
Phone (661) 223-3880

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

39115 Trade Center Dr Ste 203
Palmdale, CA 93551-3649

Mailing address

39115 Trade Center Dr Ste 203
Palmdale, CA 93551-3649
Phone (661) 223-3880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2025.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1699409474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39115 TRADE CENTER DR STE 203",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513649",
            "telephone_number": "661-223-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39115 TRADE CENTER DR STE 203",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513649",
            "telephone_number": "661-223-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPE",
        "first_name": "CHIDUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "deactivation_date": "2025-09-11",
        "reactivation_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "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 Oct 23, 2025; 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.