NPIMap

Organization Active NPI

Akalaka Nursing Care Group Inc

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1801486261
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AKALAKA NURSING CARE GROUP INC
Practice address
2917 W Vernon Ave # B
Los Angeles, CA 90008-4714
Phone
(323) 426-5200
NPI assigned
Jan 20, 2021
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Calista E Ezeokoye, DNP, PMHNPNPI 1003279118
Title
President
Phone
(323) 426-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2917 W Vernon Ave # B
Los Angeles, CA 90008-4714

Mailing address

1338 East Denway Drive
Carson, CA 90746
Phone (323) 426-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224000679 CA Part B Supplier - Clinic/Group Practice 8527473537 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2917 W Vernon Ave
#B
Los Angeles, CA 90008
Phone (323) 426-5200

3894 Crenshaw Blvd
Unit 8934
Los Angeles, CA 90008

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1801486261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 EAST DENWAY DRIVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746",
            "telephone_number": "323-426-5200",
            "fax_number": "323-426-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 W VERNON AVE # B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084714",
            "telephone_number": "323-426-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKALAKA NURSING CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "EZEOKOYE",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-426-5200",
        "authorized_official_credential": "DNP,  PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.