Pamela Mokoko, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN153499 Issued in GA

Legal business name

PAMELA MOKOKO, LLC

Doing business as

Primary Care & Mental Health

Practice address

31285 Temecula Parkway
Ste 250
Temecula, CA 92592

Phone

(912) 224-1156

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Enjema Mokoko, PMHNP, FNP, APRN-BCNPI 1821487497

Title

Owner/Ceo

Phone

(912) 224-1156

Specialties & licenses 2

Addresses

Other names 1

• Primary Care & Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in GA, CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Enjema Mokoko, FAMILY NURSE PRACTIT

  • Nurse Practitioner
  • Murrieta, CA
  • NPI 1821487497

  GA

  Medicare reassignment NPD Authorized official
• Stan Ekume Mokoko Sr., MD

  • Family Medicine Physician
  • Richmond Hill, GA
  • NPI 1336994110

  CA

  Medicare reassignment

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1700324316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WILLOW OAK DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244069",
            "telephone_number": "731-595-4433",
            "fax_number": "877-600-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31285 TEMECULA PARKWAY",
            "address_2": "STE 250",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "912-224-1156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Willow Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313244069",
            "country_code": "US",
            "telephone_number": "731-595-4433",
            "fax_number": "877-600-8393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAMELA MOKOKO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "MOKOKO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ENJEMA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "912-224-1156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP, FNP, APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN153499",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN153499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care & Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care & Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Palentino
• Julianne Palma
• Diana Palmario, FNP-C
• Kate Palomares
• Christopher Ryan Palzes
• Tonya Pan-Weisz, PH.D.
• Angelique Pantoja
• Mariana Pantoja
• Michaela Elizabeth Pappalardo
• Chareen Pappenfus

• Psychiatric/Mental Health Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.