Individual provider Active NPI

Chinwendu Claudia Anukam

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Arrowhead, CA
National Provider Identifier
1841908597
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95032456 Issued in CA
Practice address
29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone
(909) 336-3651
NPI assigned
Nov 11, 2022
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1098118 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95032456 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN04290 RI

Addresses

Primary practice location

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706

Mailing address

16522 Oasis Meadow LN
Richmond, TX 77407-1110
Phone (817) 714-5692

Other practice location 1

16522 Oasis Meadow Ln
Richmond, TX 77407-1110
Phone (817) 714-5692

Other names 1

  • Claudia Chinwendu Anukam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, RI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240729004360 TX Practitioner - Nurse Practitioner 7416494216 Reassigns benefits to 2 organizations
I20250421002933 CA Practitioner - Nurse Practitioner 7416494216 Reassigns benefits to 2 organizations
I20260129000332 RI Practitioner - Nurse Practitioner 7416494216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Bernardino Mountains Community Hospital DistrictGroup PAC ID 7012826878, shared by 5 NPIs, 12 clinicians
Brightside Behavioral Health LLCGroup PAC ID 4981048501, 14 clinicians

Practice addresses (Care Compare)

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 436-3034

469 Centerville Rd
Suite 105
Warwick, RI 02886-4356
Phone (401) 773-3700

PO Box
Lake Arrowhead, CA 92352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032456CAMDPsychiatric/Mental Health Nurse Practitioner
APRN04290RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Mountains Community Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Brightside Behavioral Health, LLC CurrentSince Dec 7, 2025 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 17, 2025 Accepting new patients
San Bernardino Mountains Community Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 17, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Jun 18, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

469 Centerville Rd
Ste 105
Warwick, RI 02886
Phone (401) 738-9200

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

8550 Jason St
Houston, TX 77074
Phone (346) 231-7500

9539 Huffmeister Rd
Houston, TX 77095
Phone (832) 593-8100

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

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, 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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1841908597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16522 OASIS MEADOW LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071110",
            "telephone_number": "817-714-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HOSPITAL RD",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923529706",
            "telephone_number": "909-336-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16522 Oasis Meadow Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774071110",
            "country_code": "US",
            "telephone_number": "817-714-5692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANUKAM",
        "first_name": "CHINWENDU",
        "middle_name": "CLAUDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1098118",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032456",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "ANUKAM",
            "middle_name": "CHINWENDU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Arrowhead, CA

Sources for this page

Verify at the official NPI Registry.