Individual provider Active NPI

Anthonia Ifeoma Udeh-Okey, FNP/PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1942739263
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95006262 Issued in CA
Practice address
11910 Olive Glen LN
Los Angeles, CA 90047-5358
Phone
(213) 381-1117
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006262 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006262 CA Primary

Addresses

Primary practice location

11910 Olive Glen LN
Los Angeles, CA 90047-5358

Mailing address

11910 Olive Glen LN
Los Angeles, CA 90047-5358
Phone (310) 956-0549

Other names 1

  • Ms. Anthonia Obiageli Udeh-Okey Former name

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
I20230403001843 CA Practitioner - Nurse Practitioner 8224403332 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
646425CAMDFamily Nurse Practitioner
2021000785CAMDPsychiatric/Mental Health Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1942739263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 OLIVE GLEN LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900475358",
            "telephone_number": "310-956-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 OLIVE GLEN LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900475358",
            "telephone_number": "213-381-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEH-OKEY",
        "first_name": "ANTHONIA",
        "middle_name": "IFEOMA",
        "name_prefix": "Ms.",
        "credential": "FNP/PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006262",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONIA",
            "last_name": "UDEH-OKEY",
            "middle_name": "OBIAGELI",
            "prefix": "MS.",
            "credential": "DOCTORATE/MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.