Individual provider Active NPI

Martina Njoku

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1962939074
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107400 Issued in CA
Practice address
6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920
Phone
(800) 270-9256
Fax
(805) 855-4771
NPI assigned
May 19, 2017
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 107400 CA Primary

Addresses

Primary practice location

6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920

Mailing address

1720 E 120TH St
Los Angeles, CA 90059-3052
Phone (800) 270-9256

Other practice location 1

3751 Stocker St
View Park, CA 90008-5101
Phone (213) 435-0425

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721004314 CA Practitioner - Clinical Social Worker 3870009418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107400CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Heritage Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Precise Behavioral, Inc. PastSince Apr 27, 2025 Accepting new patients

Locations

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2393 Townsgate Rd
Ste 104
Westlake Village, CA 91361
Phone (805) 601-5199

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

Organizations & group practices 2

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1962939074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593052",
            "telephone_number": "800-270-9256",
            "fax_number": "805-855-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WILSHIRE BLVD FL 19",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484920",
            "telephone_number": "800-270-9256",
            "fax_number": "805-855-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 Stocker St",
            "address_purpose": "LOCATION",
            "city": "View Park",
            "state": "CA",
            "postal_code": "900085101",
            "country_code": "US",
            "telephone_number": "213-435-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJOKU",
        "first_name": "MARTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.