Individual provider Active NPI

Ifeoma Stella Nweke

  • Family Nurse Practitioner
  • Hawthorne, CA
National Provider Identifier
1881053593
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003165 Issued in CA
Practice address
11830 Acacia Ave Apt 1
Hawthorne, CA 90250-3000
Phone
(323) 674-3426
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003165 CA Primary

Addresses

Primary practice location

11830 Acacia Ave Apt 1
Hawthorne, CA 90250-3000

Mailing address

21151 S Western Ave Ste 176
Torrance, CA 90501-1724
Phone (323) 674-3426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170713002563 CA Practitioner - Nurse Practitioner 2264701853 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003165CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Nov 2, 2023 Accepting new patients
Global Mobile Medical Alliances, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Grow Healthcare Group PC CurrentSince Aug 1, 2025 Accepting new patients
Osher Resources Inc CurrentSince Jul 30, 2018 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Jun 1, 2017 Accepting new patients
Doctors on the Go Inc. CurrentSince Jul 29, 2024 Accepting new patients
Global Integrated Medical Group, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Mobile Physicians Medical Allied Group Inc PastSince Oct 1, 2021 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

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

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

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

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

1535 W Merced Ave
Ste 202
West Covina, CA 91790
Phone (626) 337-6246

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1881053593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE STE 176",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "323-674-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 ACACIA AVE APT 1",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503000",
            "telephone_number": "323-674-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWEKE",
        "first_name": "IFEOMA",
        "middle_name": "STELLA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.